LANCE D. EDMONDS M.D. – NPI #1124214374
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

LANCE EDMONDS is a radiologist located in PROVO, UT. NPPES has assigned the NPI number 1124214374 to LANCE EDMONDS on September 21, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Mar 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LANCE EDMONDS below.

NPI Profile for
LANCE D. EDMONDS

NPI Number
1124214374
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LANCE D. EDMONDS
Credentials
M.D.
Primary location
1055 N 500 W STE 112
PROVO, UT 84604-3305
Phone: (801) 812-4624 Fax: (801) 812-4699
4 Other location(s):
1175 E 50 S Ste 141
American Fork, UT 84003-2845
Phone: (801) 492-5996
Fax: (801) 492-5993
3000 N Triumph Blvd Ste 100
Lehi, UT 84043-4999
Phone: (385) 345-3155
Fax: (385) 345-3163
555 W State Road 164
Salem, UT 84653-5732
Phone: (801) 812-4624
Fax: (801) 812-4699
2825 E Mall Dr
St George, UT 84790-1954
Phone: (435) 986-2238
Fax: (435) 986-2237
Mailing address
1055 N 500 W
ATTN CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225 Fax: (801) 418-0941
Sole Proprietor
No
Updated
Certification Date
Mar 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 CA A108694

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE - Graduated 2004
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LANCE EDMONDS is affiliated with the following medical group(s):
  • HOSPITAL
    • SUTTER AUBURN FAITH HOSPITAL
      11815 EDUCATION STREET
      AUBURN, CA 95603
    • SUTTER DAVIS HOSPITAL
      2000 SUTTER PLACE
      DAVIS, CA 95616
    • SUTTER MEDICAL CENTER, SACRAMENTO
      2825 CAPITOL AVENUE
      SACRAMENTO, CA 95816
    • SUTTER ROSEVILLE MEDICAL CENTER
      ONE MEDICAL PLAZA
      ROSEVILLE, CA 95661

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