COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - UTAH – NPI #1568965697
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - UTAH is a radiologist located in MURRAY, UT. NPPES has assigned the NPI number 1568965697 to COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - UTAH on March 15, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - UTAH” is a dba name, the actual legal business name for this organization is COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 5 years ago on Oct 26, 2021. 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 COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - UTAH below.

NPI Profile for
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

NPI Number
1568965697
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Doing Business As (dba): COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - UTAH
Other name(s)
All associated names:
Doing Business As (dba)
CIC - Utah
Doing Business As (dba)
Comprehensive Interventional Care Centers, PLLC - Utah
Primary location
5343 S WOODROW ST STE 100
MURRAY, UT 84107-5885
Phone: (801) 810-2999 Fax: (801) 396-9157
1 Other location(s):
838 W Elliot Rd Ste 101
Gilbert, AZ 85233-5162
Phone: (480) 374-7354
Fax: (480) 371-1121
Mailing address
4001 E BASELINE RD STE 107
GILBERT, AZ 85234-2744
Phone: (480) 374-7354 Fax:
Organization Subpart
Yes - COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - UTAH is subpart of another organization.
Authorized Official
JOHN BRENNAN
CREDENTIALING
Phone: (520) 322-6274
Updated
Certification Date
Oct 26, 2021

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
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)

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.