Organization · Type 2 NPI

Northern Utah Healthcare Corporation

Radiology Clinic/Center · Millcreek, UT

NPI number 1013849389 Active

Practice location

3738 S 900 E
Millcreek, UT 84106-1913

Call (801) 313-1955 Map

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

Another provider at this address

Northern Utah Imaging LLCDiagnostic Radiology Physician Salt Lake City, UT NPI 1487643904

NPI record

NPI: 1013849389
Entity type: Organization (Type 2)
Issued: Jun 1, 2026
Last updated: Jun 1, 2026
Status: Active
Subpart: Yes of Northern Utah Healthcare Corporation

Other names

St. Mark's Hospital Millcreek Imaging Center · doing business as

Authorized official

Braden Tibbitts
CFO
(801) 465-7107

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1013849389

Northern Utah Healthcare Corporation's National Provider Identifier is 1013849389, issued on Jun 1, 2026. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Millcreek, UT. The record was last updated on Jun 1, 2026.