MOUNTAIN WEST RADIOLOGY, INC.
NPI 1487652608
Radiology - Diagnostic Radiology in Tooele, UT
NPI Status: Active since July 12, 2005
Contact Information
2055 N MAIN ST
TOOELE, UT
ZIP 84074
Phone: (435) 843-3646
Fax: (435) 843-2590
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 46D2062319
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-14-2025
About MOUNTAIN WEST RADIOLOGY, INC.
This page provides the complete NPI Profile along with additional information for Mountain West Radiology, Inc., a provider established in Tooele, Utah operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1487652608 assigned on July 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 2005063 (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 authorized official of this NPI record is James Thomas Webber Md (President)
- NPI
- 1487652608
- Provider Name
- MOUNTAIN WEST RADIOLOGY, INC.
- Entity Type
- Organization
- Location Address
- 2055 N MAIN ST TOOELE, UT 84074
- Location Phone
- (435) 843-3646
- Location Fax
- (435) 843-2590
- Mailing Address
- PO BOX 1210 TOOELE, UT 84074
- Mailing Phone
- (435) 843-3646
- Mailing Fax
- (435) 843-2590
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2005
- Last Update Date
- 09-23-2010
- 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 Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2005063
- License State
- UT
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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:
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 |
|---|---|---|---|
| DC9493 | MEDICARE PIN (08) | UT | |
| 000055939 | MEDICARE PIN (08) | UT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2062319
- Facility Type
- Physician Office
- Certificate Effective Date
- July 15, 2023
- Certificate Expiration Date
- July 14, 2025
- Laboratory Director
- INGRID ACOSTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mountain West Radiology, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 4 | 8 | 7 | 6 | 5 | 2 | 6 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 12 | 5 | 4 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 2 + 5 + 4 + 6 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1487652608 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1518931344 | ANNETTE S PROCTOR CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1487614962 | DANIEL DUGGLEBY MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1578524633 | BENNION BUCHANAN MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1366404840 | JOHN MASARYK MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1972565471 | LANCE OWENS MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1922060367 | DAVID PEASE MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1134181233 | ADAM SAPERSTON MD Individual | Emergency Medicine (Emergency Medical Services) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1134181761 | RICHARD THURMAN MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1902840002 | DANIEL LEE MARTIN P.A. Individual | Physician Assistant (Medical) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3670 |
| 1629003249 | EMERGENCY PHYSICIANS INTEGRATED CARE Organization | Emergency Medicine (Emergency Medical Services) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1720092752 | MR. KYLE H JONES CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1881608800 | MARK E WILSON CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1467463257 | ROBIN B. BRADSHAW CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1972683498 | MR. DEAN DENNIS SEVERSON CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1942345764 | MR. ALAN M. LAYTON RPH Individual | Pharmacist | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3790 |
| 1568597763 | DR. RONALD SCOTT OVERY PHARMD. Individual | Pharmacist | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3791 |
| 1477753705 | TOOELE HOSPITAL CORPORATION INC Organization | Ambulance (Land Transport) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1467693473 | MRS. CORY ANN HANSEN M.S, R.D. Individual | Dietitian, Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1518972280 | DESERET PEAK ANESTHESIA, LLC Organization | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1467459479 | JAMES THOMAS WEBBER MD Individual | Radiology (Diagnostic Radiology) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3646 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487652608, enumerated in the NPI registry as an "organization" on July 12, 2005
The provider is located at 2055 N Main St Tooele, Ut 84074 and the phone number is (435) 843-3646
This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 46D2062319 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 12, 2005. 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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