STREAM DX INC (NPI# 1740752500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740752500 |
| Entity Type | Organization |
| Organization Name | STREAM DX INC |
| Practice Address |
2305 S 1070 W West Valley City UT 84119-1564 |
| Practice Telephone | 7817890169 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | BRIAN DEAN HOLT (OFFICER) |
| Authorized Official Telephone | 7817890169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Stream Dx Inc | Doing Business As Name - Organization |
| Street Address |
2305 S 1070 W |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1174526107 | Open Imaging Layton LLC | Physiological Laboratory | 2071 N Main St, Ste 100, Layton, UT 84041-4969 | 2005-05-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
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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.