BAKORP, L.L.C. (NPI# 1023357894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023357894 |
Entity Type | Organization |
Organization Name | BAKORP, L.L.C. |
Other Organization Name | PACIFIC MOBILE DIAGNOSTICS |
Practice Address |
12659 S 125 E Ste B Draper UT 84020-5733 |
Mailing Address |
615 E Palo Verde Dr Phoenix AZ 85012-1331 |
Practice Telephone | 8015030502 |
Practice Fax Number | 8015030501 |
Mailing Telephone | 9494879500 |
Mailing Fax Number | 9494879400 |
Enumeration Date | 2013-02-13 |
Last Update Date | 2019-04-22 |
Authorized Official Name | SOON BURNAM (TREASURER) |
Authorized Official Telephone | 9495401249 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Other Name | Type Code |
---|---|
Pacific Mobile Diagnostics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679812440 | Bakorp, L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12659 S 125 E Ste B, Draper, UT 84020-5733 | 2013-02-13 |
Street Address |
12659 S 125 E STE B |
City | DRAPER |
State | UT |
Zip Code | 84020-5733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679812440 | Bakorp, L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12659 S 125 E Ste B, Draper, UT 84020-5733 | 2013-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
Find all providers in zip 84020 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679812440 | Bakorp, L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12659 S 125 E Ste B, Draper, UT 84020-5733 | 2013-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407377310 | Care2u | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6494 S 1725 E, Uintah, UT 84405-9759 | 2017-06-29 |
1982144978 | Lithotripsy Associates, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3145 N 750 E Ste 2, Layton, UT 84041-8695 | 2017-02-24 |
1861417289 | Joy Lee | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 278 S 100 W, Pleasant Grove, UT 84062-2622 | 2006-07-13 |
1457384059 | Mobile Sound Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 166 N 400 W, Lindon, UT 84042 | 2006-07-08 |
1528006046 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9078 S 300 W, Sandy, UT 84070-2757 | 2006-06-04 |
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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.