BRIGHAM YOUNG UNIVERSITY (NPI# 1194930495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194930495 |
| Entity Type | Organization |
| Organization Name | BRIGHAM YOUNG UNIVERSITY |
| Other Organization Name | Y BE FIT |
| Practice Address |
Y Be Fit, 127 Richards Building Brigham Young University Provo UT 84602 |
| Mailing Address |
B-340 Asb Brigham Young University Provo UT 84602 |
| Practice Telephone | 8014224927 |
| Mailing Telephone | 8014223760 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN EVANS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8014223760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Y Be Fit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790175628 | Brigham Young University | Family Medicine | 173 Richards Building, Dance Department, Provo, UT 84602-2000 | 2015-01-30 |
| 1083788111 | Brigham Young University | Local Education Agency (LEA) | 522 W 40 N, Orem, UT 84057-5310 | 2006-11-20 |
| 1215027099 | Brigham Young University | Student in an Organized Health Care Education/Training Program | 1130 Sfh Sports Med, Provo, UT 84602 | 2006-10-13 |
| 1467584300 | Brigham Young University | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84604-8600 | 2007-03-09 |
| 1942276092 | Brigham Young University | Point of Service | 1750 N Wymount Terrace Dr, 2300, Provo, UT 84602-4800 | 2006-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIGHAM YOUNG UNIVERSITY | A41 Asb, Provo, UT 84602-1014 |
| Street Address |
Y BE FIT, 127 RICHARDS BUILDING BRIGHAM YOUNG UNIVERSITY |
| City | PROVO |
| State | UT |
| Zip Code | 84602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752500 | Stream Dx Inc | Physiological Laboratory | 2305 S 1070 W, West Valley City, UT 84119-1564 | 2018-12-18 |
| 1316425432 | East Side Imaging, LLC | Physiological Laboratory | 3702 S State St Ste 111, Salt Lake City, UT 84115-5078 | 2018-07-31 |
| 1437671583 | Kg Medical Consulting | Physiological Laboratory | 231 E 200 N, American Fork, UT 84003-1742 | 2017-07-11 |
| 1639560154 | Elysium Labsource | Physiological Laboratory | 2435 W Spencer Crest Dr, Bluffdale, UT 84065-3048 | 2015-02-06 |
| 1407187701 | Monitoring Associates | Physiological Laboratory | 1817 W 800 N, Salt Lake City, UT 84025 | 2010-01-26 |
| 1235188608 | Diagnostic Health Corporation | Physiological Laboratory | 1850 Sidewinder Dr, Suite 410, Park City, UT 84060-7471 | 2006-05-10 |
| 1174526107 | Open Imaging Layton LLC | Physiological Laboratory | 2071 N Main St, Ste 100, Layton, UT 84041-4969 | 2005-05-23 |
| 1366445397 | Open Imaging Lc | Physiological Laboratory | 6243 S Redwood Rd, Ste 130, Taylorsville, UT 84123-6408 | 2005-05-23 |
| 1477921112 | Jml Lab Solutions | Physiological Laboratory | 10965 S State St, Sandy, UT 84070-4270 | 2015-09-11 |
| 1811374390 | Logan Sleep Diagnostics, Inc | Physiological Laboratory | 1395 N 400 E, Suite C, Logan, UT 84341-7530 | 2015-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.