Riverwood Advanced Diagnostic Imaging

LBN: Riverwood Advanced Diagnostic Imaging
Riverwood Advanced Diagnostic Imaging is an health care organization with primary practice located at 3152 N University Ave Suite 100, Provo UT 84604-4729. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Riverwood Advanced Diagnostic Imaging can be contacted via phone (801) 437-4895, or through Gibby, Wendell A via phone (801) 437-4895.

Contact Information

Primary practice address
3152 N University Ave Suite 100 Provo UT 84604-4729
Phone: (801) 437-4895
Fax: (801) 229-1003
Website:
Map and Directions
Authorized official contact:
Name: Gibby, Wendell A Doctor of Medicine (MD)
Phone: (801) 437-4895

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5414031-1704 Utah

Profile Details

NPI number 1194818278
LBN Legal business name Riverwood Advanced Diagnostic Imaging
DBA Doing business as
Authorized official Gibby, Wendell A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 27th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194818278 NPPES
Utah MEDICAID 528906826089

Popular Providers