OPEN IMAGING LAYTON LLC (NPI# 1174526107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174526107 |
| Entity Type | Organization |
| Organization Name | OPEN IMAGING LAYTON LLC |
| Other Organization Name | OPEN IMAGING LAYTON |
| Practice Address |
2071 N Main St Ste 100 Layton UT 84041-4969 |
| Mailing Address |
6243 S. Redwood Rd. Suite 130 Taylorsville UT 84123 |
| Practice Telephone | 8018254040 |
| Practice Fax Number | 8018254039 |
| Mailing Telephone | 8012889671 |
| Mailing Fax Number | 8012889583 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | ALBERT C. VAN KIRK (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3306533968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Open Imaging Layton | Doing Business As Name - Organization |
| Street Address |
2071 N MAIN ST STE 100 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-4969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| 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 |
| 1194930495 | Brigham Young University | Physiological Laboratory | Y Be Fit, 127 Richards Building, Brigham Young University, Provo, UT 84602 | 2007-05-11 |
| 1235188608 | Diagnostic Health Corporation | Physiological Laboratory | 1850 Sidewinder Dr, Suite 410, Park City, UT 84060-7471 | 2006-05-10 |
| 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 |
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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.