Organization Active NPI

Portable Ultrasound of Utah LLC

  • Diagnostic Ultrasound Physician
  • Salt Lake City, UT
National Provider Identifier
1992783682
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
PORTABLE ULTRASOUND OF UTAH LLC
Practice address
2212 S West Temple
Ste 18
Salt Lake City, UT 84115-2642
Phone
(801) 359-2532
Fax
(801) 485-4174
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carol Toomey
Title
Member
Phone
(702) 645-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

2212 S West Temple
Ste 18
Salt Lake City, UT 84115-2642

Mailing address

5538 Duncan Dr
Las Vegas, NV 89130-2812
Phone (702) 645-2606

Other identifiers 1

IdentifierTypeStateIssuer
P00119284OtherUTRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1992783682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302812",
            "telephone_number": "702-645-2606",
            "fax_number": "702-645-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 S WEST TEMPLE",
            "address_2": "STE 18",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152642",
            "telephone_number": "801-359-2532",
            "fax_number": "801-485-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE ULTRASOUND OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TOOMEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-645-2606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00119284",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.