SALT LAKE CLINIC RADIOLOGY
NPI 1073642757
Radiology - Body Imaging in Salt Lake City, UT
NPI Status: Active since March 05, 2007
Contact Information
333 S 900 E
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 933-6000
- Organization
- Radiology
- Body Imaging
- Accepts Insurance
About SALT LAKE CLINIC RADIOLOGY
This page provides the complete NPI Profile along with additional information for Salt Lake Clinic Radiology, a provider established in Salt Lake City, Utah operating as a Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1073642757 assigned on March 2007. The practitioner's primary taxonomy code is 2085B0100X with license number 19960602 (UT). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Salt Lake Clinic Radiology. The authorized official of this NPI record is Dr. Linda C Leckman Md (Ceo Intermountain Medical Group)
- NPI
- 1073642757
- Provider Legal Name
- IHC HEALTH SERVICES INC
- Other Organization Name
- SALT LAKE CLINIC RADIOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 333 S 900 E SALT LAKE CITY, UT 84102
- Location Phone
- (801) 933-6000
- Mailing Address
- PO BOX 27128 SALT LAKE CITY, UT 84127
- Mailing Phone
- (801) 933-6000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-05-2007
- Last Update Date
- 04-16-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Body Imaging
- Taxonomy Code
- 2085B0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19960602
- License State
- UT
- Taxonomy Description
- A Radiology doctor of Osteopathy that specializes in Body Imaging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000055422 | MEDICARE PIN (08) | UT |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 6 | 4 | 2 | 7 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 12 | 4 | 4 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 2 + 4 + 4 + 7 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1073642757 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053347765 | RUSSELL JON ORD M.D. Individual | Otolaryngology | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8185 |
| 1437189594 | ANDREA JULIET HEBERT M.D. Individual | Obstetrics & Gynecology | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1407886567 | DARRELL G. HENSLEIGH M.D. Individual | Internal Medicine | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8166 |
| 1821028820 | LISA MARIE GRAVELLE M.D. Individual | Obstetrics & Gynecology | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1134159965 | CRAIG M. MOFFAT M.D. Individual | Allergy & Immunology | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1013947845 | THOMAS D. BAUMAN M.D. Individual | Orthopaedic Surgery | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1629008750 | CLYDE JARDINE BENCH M.D. Individual | Internal Medicine (Rheumatology) | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1184658502 | DEE MARTIN RASMUSSEN M.D. Individual | Dermatology | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1306871116 | MELVIN DEN KUWAHARA M.D. Individual | Internal Medicine (Gastroenterology) | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8181 |
| 1457376113 | DENNIS DARRELL RUSSELL M.D. Individual | Dermatology | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1669499349 | REBECCA LOUISE PONDER M.D. Individual | Obstetrics & Gynecology | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1437176013 | RICHARD R. PRICE M.D. Individual | Surgery | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1326069832 | ROBERT ORVILLE NIELSEN M.D. Individual | Internal Medicine (Gastroenterology) | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1417961285 | BRUCE J. BIRCH MS Individual | Audiologist | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1154419083 | LOUIS ALAN MOENCH MD Individual | Psychiatry & Neurology (Psychiatry) | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8398 |
| 1407944457 | JACQUELINE A. RENDO MD Individual | Obstetrics & Gynecology | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8163 |
| 1821173774 | MR. JOHN WALLACE MCMURRAY Individual | Pharmacist | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 359-9381 |
| 1619047743 | DR. MARK CHARLES FOOTE MD Individual | Psychiatry & Neurology (Psychiatry) | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8398 |
| 1356414650 | MR. CHARLES R SOKOL RPH Individual | Pharmacist | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8229 |
| 1356550578 | MS. DARCI STAPLEY RD, CD, CDE Individual | Dietitian, Registered | 333 S 900 E SALT LAKE CITY, UT 84102 (801) 535-8103 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073642757, enumerated in the NPI registry as an "organization" on March 05, 2007
The provider is located at 333 S 900 E Salt Lake City, Ut 84102 and the phone number is (801) 933-6000
This medical organization specializes in Radiology with taxonomy code 2085B0100X with a focus in Body Imaging
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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