INTERMOUNTAIN LAYTON CLINIC IMAGING CENTER
NPI 1053367631
Radiologic Technologist in Layton, UT

NPI Status: Active since May 26, 2006

Contact Information

2075 N 1200 W
LAYTON, UT
ZIP 84041
Phone: (801) 779-6200
Fax: (801) 779-6294

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  • Organization
  • Radiologic Technologist
  • CLIA Number: 46D0901365
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-04-2027

About INTERMOUNTAIN LAYTON CLINIC IMAGING CENTER

This page provides the complete NPI Profile along with additional information for Intermountain Layton Clinic Imaging Center, a provider established in Layton, Utah operating as a Radiologic Technologist. The healthcare provider is registered in the NPI registry with number 1053367631 assigned on May 2006. The practitioner's primary taxonomy code is 247100000X with license number 383 (UT). The provider is registered as an organization and their NPI record was last updated 6 years ago. Intermountain Layton Clinic Imaging Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Intermountain Layton Clinic Imaging Center. The authorized official of this NPI record is Mr. Paul Vanwagenen (Director Of Operations)

NPI
1053367631
Provider Legal Name
IHC HEALTH SERVICES, INC
Other Organization Name
INTERMOUNTAIN LAYTON CLINIC IMAGING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2075 N 1200 W LAYTON, UT 84041
Location Phone
(801) 779-6200
Location Fax
(801) 779-6294
Mailing Address
2075 N 1200 W LAYTON, UT 84041
Mailing Phone
(801) 779-6200
Mailing Fax
(801) 779-6294
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiologic Technologist

Taxonomy Code
247100000X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
383
License State
UT
Taxonomy Description
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PAUL VANWAGENEN

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(801) 387-3740

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D0901365
Facility Type
Community Clinic
Certificate Effective Date
February 05, 2025
Certificate Expiration Date
February 04, 2027
Laboratory Director
MICHAEL S. NIELSEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Intermountain Layton Clinic Imaging Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053367631, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 6 + 6 + 1 + 4 + 6 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053367631.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Orthopaedic Surgery
2075 N 1200 W
LAYTON, UT 84041
Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Pharmacist
2075 N 1200 W
LAYTON, UT 84041
Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Pharmacist
2075 N 1200 W
LAYTON, UT 84041
Family Medicine
2075 N 1200 W
LAYTON, UT 84041
Pediatrics
2075 N 1200 W
LAYTON, UT 84041
Emergency Medicine
2075 N 1200 W
LAYTON, UT 84041
Pediatrics
2075 N 1200 W
LAYTON, UT 84041
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
2075 N 1200 W, 2ND FLOOR
LAYTON, UT 84041
Clinic/Center (Multi-Specialty)
2075 N 1200 W
LAYTON, UT 84041
Pediatrics (Sports Medicine)
2075 N 1200 W
LAYTON, UT 84041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053367631, enumerated as an "organization" on May 26, 2006.

The provider is located at 2075 N 1200 W LAYTON, UT 84041 and the phone number is (801) 779-6200.

Radiologic Technologist with taxonomy code 247100000X.