TOOELE VALLEY IMAGING, LLC (NPI# 1699004499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699004499 |
| Entity Type | Organization |
| Organization Name | TOOELE VALLEY IMAGING, LLC |
| Practice Address |
2356 N 400 E Suite 103 Tooele UT 84074-3409 |
| Practice Telephone | 4358821674 |
| Practice Fax Number | 4358821822 |
| Mailing Telephone | 4358821674 |
| Mailing Fax Number | 4358821822 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2011-11-20 |
| Authorized Official Name | MR. JAMES MARK HALL (MEMBER) |
| Authorized Official Telephone | 8016412730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
UT | Ambulatory Health Care Facilities | |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
UT | Allopathic & Osteopathic Physicians | |
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
UT | Ambulatory Health Care Facilities |
| Street Address |
2356 N 400 E SUITE 103 |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809528 | Kim A. Halladay | Podiatrist | 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 | 2005-05-27 |
| 1598295586 | Bradley Allen Klemetson | Physical Therapist | 2356 N 400 E, Tooele, UT 84074-3409 | 2017-06-13 |
| 1013466978 | Jesse Yarrington | Physician Assistant | 2356 N 400 E, Ste 201, Tooele, UT 84074-3409 | 2016-10-03 |
| 1851767495 | Kenneth David Brown | Physical Therapist | 2356 N 400 E, Tooele, UT 84074-3409 | 2015-08-18 |
| 1205178571 | Joshua Scott Ingleby | Physician Assistant | 2356 N 400 E, Ste 201, Tooele, UT 84074-3409 | 2013-03-25 |
| 1497011605 | Acg Counseling Services, LLC | Counselor | 2356 N 400 E, Suite 202, Tooele, UT 84074-3409 | 2012-04-02 |
| 1366719015 | Jim J. Gould, Md PC | Clinic/Center | 2356 N 400 E, Suite 202, Tooele, UT 84074-3409 | 2011-11-23 |
| 1255509154 | Tooele Foot & Ankle Clinic, Inc. | Podiatrist | 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 | 2008-02-13 |
| 1770766586 | Sergio Abarca, M.d., Inc | Family Medicine | 2356 N 400 E, Ste 201, Tooele, UT 84074 | 2007-12-14 |
| 1184807992 | Blake R. Beazer, M.d., Inc | Family Medicine | 2356 N 400 E, Ste. 201, Tooele, UT 84074-3409 | 2007-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043388861 | Southern Utah Mri, Inc. | Clinic/Center | 1335 N. Northfield Rd., #100, Cedar City, UT 84721 | 2006-12-01 |
| 1366512808 | St George Imaging LLC | Clinic/Center | 1490 E Foremaster Dr Bldg C, Saint George, UT 84790-4550 | 2006-11-09 |
| 1871592691 | Avocet Medical Imaging | Clinic/Center | 1930 S Highway 89, Perry, UT 84302-4119 | 2005-07-14 |
| 1679645139 | Wasatch Imaging LLC | Clinic/Center | 9844 S 1300 E, #175, Sandy, UT 84094-4688 | 2006-11-13 |
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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.