CCU DIAGNOSTICS LC (NPI# 1609829381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609829381 |
| Entity Type | Organization |
| Organization Name | CCU DIAGNOSTICS LC |
| Practice Address |
24 S 1100 E Suite 304 Salt Lake City UT 84102-1500 |
| Practice Telephone | 8017464440 |
| Practice Fax Number | 8017464455 |
| Mailing Telephone | 8017464440 |
| Mailing Fax Number | 8017464455 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IMRAN ZUBAIR (MEMBER) |
| Authorized Official Telephone | 8017464440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
20060479 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
24 S 1100 E SUITE 304 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888748 | Thomas R Calame | Internal Medicine | 24 S 1100 E, Ste 105, Salt Lake City, UT 84102-1500 | 2005-08-17 |
| 1902277908 | Tia Peterson | Nurse Practitioner | 24 S 1100 E, #201, Salt Lake City, UT 84102-1500 | 2015-10-15 |
| 1205222627 | Brittney Balogh, Md, PC | Surgery | 24 S 1100 E, Suite 302, Salt Lake City, UT 84102-1500 | 2015-04-13 |
| 1215325576 | Daniel Camp | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2015-01-08 |
| 1649681065 | Margy Batson LLC | Clinic/Center | 24 S 1100 E, Suite 209, Salt Lake City, UT 84102-1500 | 2014-05-20 |
| 1821421983 | Eric C. Chenworth, D.o.,p.c. | Allergy & Immunology | 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 | 2013-08-13 |
| 1699010769 | Joanne Sumpio Hinson Md Pllc | Obstetrics & Gynecology | 24 S 1100 E, Ste 210, Salt Lake City, UT 84102-1500 | 2012-11-30 |
| 1376887927 | Eric C Chenworth D O P C | Clinic/Center | 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 | 2012-11-20 |
| 1710262860 | Patricia Jean Romney Church | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2011-10-19 |
| 1861776494 | Jordan Robert Mcqueen | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2011-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003189622 | Mehmet Akkaya | Internal Medicine | University of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132-0001 | 2012-02-13 |
| 1700199627 | Majd Ibrahim | Internal Medicine | 30 N Medical Dr Rm 4a100, Salt Lake City, UT 84132 | 2010-07-20 |
| 1588804314 | Michael John Preece | Internal Medicine | 1064 Donner Way, Salt Lake City, UT 84108-2507 | 2009-03-06 |
| 1902071673 | John Joseph Ryan | Internal Medicine | Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 | 2008-04-24 |
| 1831364561 | Lowell Chang | Internal Medicine | 30 N Medical Dr, Salt Lake City, UT 84132-0001 | 2008-04-23 |
| 1467505206 | Ravi Ranjan | Internal Medicine | 30 N 1900 E Rm 4a100, Health Sciences Center, Salt Lake City, UT 84132-0002 | 2007-01-18 |
| 1952321192 | G Michael Vincent | Internal Medicine | 324 10th Ave Ste 130, Salt Lake City, UT 84103-2812 | 2006-07-20 |
| 1811965122 | John D Day | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2006-03-11 |
| 1083699144 | Frank G Yanowitz | Internal Medicine | 8th Ave & C St, Lds Hospital, Salt Lake City, UT 84143-0001 | 2005-12-13 |
| 1306835186 | Peter P Steele | Internal Medicine | 3350 S 2940 E, 9677, Salt Lake City, UT 84109-3159 | 2005-10-14 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.