Organization · Type 2 NPI
East Side Imaging, LLC
Physiological Laboratory · South Salt Lake, UT
Practice location
3702 S State St Ste 111
South Salt Lake, UT 84115-5078
Fax (801) 288-9583
Mailing address
PO Box 645846
Cincinnati, OH 45264-5846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physiological Laboratory Primary | 293D00000X | None listed |
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 labora…
About NPI 1316425432
East Side Imaging, LLC's National Provider Identifier is 1316425432, issued on Jul 31, 2018. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in South Salt Lake, UT. The record was last updated on Aug 11, 2021.