Organization · NPI-2

Blue Rock Properties LLC

Radiologic Technologist · Salt Lake City, UT

NPI number1467606137
StatusActive
Last updated in NPPESMar 27, 2009

Details

NPI
1467606137
Entity type
Organization (NPI-2)
Legal business name
Blue Rock Properties LLC
Organization subpart
No
Enumeration date
Nov 7, 2008
Last updated
Mar 27, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247100000X Radiologic Technologist20022355UTYes

Practice location

130 S 400 W
Salt Lake City, UT 84101-1145

Phone 801-456-7226

Mailing address

280 River Park Dr
100
Provo, UT 84604-5764

Phone 801-437-4895 · Fax 801-229-1003

Authorized official

Martha Hodges
Billing Manager
8014374895

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