JORDAN RIDGE FAMILY MEDICINE LLC NPI 1841872728

NPI Information

NPI: 1841872728
Provider Name: JORDAN RIDGE FAMILY MEDICINE LLC
Classification: Clinic/Center - 261QR0207X
Entity Type: Organization

Specialization: Radiology, Mobile Mammography

Address:
1403 EAST SEGO LANE
SUITE 100
SANDY, UT
ZIP 84092
Phone: (385) 274-3959
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JORDAN RIDGE FAMILY MEDICINE LLC is a radiology and mobile mammography clinic center in Sandy, UT. JORDAN RIDGE FAMILY MEDICINE LLC NPI is 1841872728. The provider is registered as an organization entity type.

The provider's business location address is:

1403 EAST SEGO LANE
SUITE 100
SANDY, UT
ZIP 84092
Phone: (385) 274-3959
Fax: (385) 274-3970

The provider's authorized official is Emily Castillo .
The authorized official title is Manager and has the following contact phone number (702) 480-2550.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 10/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0207X	Clinic/Center	Radiology, Mobile Mammography			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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