GENESIS VASCULAR OF SALT LAKE, LLC
NPI 1104361591
Internal Medicine - Interventional Cardiology in Salt Lake City, UT

Q: What is Genesis Vascular Of Salt Lake's NPI number?

The NPI number for Genesis Vascular Of Salt Lake is 1104361591. It was assigned to this organization in the NPPES registry on December 21, 2016. The provider is doing business as Genesis Vascular Of Salt Lake, LLC.

Q: What is Genesis Vascular Of Salt Lake's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since December 21, 2016

6321 S REDWOOD RD, SUITE 102, SALT LAKE CITY, UT 84123(385) 388-8003(385) 344-4006 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2020, Oct 1, 2020, Feb 6, 2020 and 2 more (5 updates tracked since 2016).

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About Genesis Vascular Of Salt Lake, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS VASCULAR OF SALT LAKE, LLC (NPI 1104361591) is a healthcare organization registered as an interventional cardiology in Salt Lake City, Utah and active in the NPI registry since December 2016. The organization lists Dennis Munford, Manager, as its authorized official.

NPPES Registry Identity

NPI1104361591

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameGENESIS VASCULAR OF SALT LAKE

Location Address6321 S REDWOOD RD, SUITE 102Salt Lake City, UT 84123-6798

Mailing Address6321 S Redwood Rd Ste 102Taylorsville, UT 84123-6799 · (385) 388-8003 · Fax (385) 344-4006

Phone(385) 388-8003

Fax(385) 344-4006

Organization SubpartYes

Authorized OfficialDennis MunfordManager · (385) 388-8003

Enumeration DateDecember 21, 2016

Last NPPES UpdateOctober 7, 20205 updates tracked since enumeration

NPPES CertifiedOctober 7, 2020

✔ NPI 1104361591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

6321 S REDWOOD RD, Salt Lake City, UT 84123

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Other Names 1

Doing Business AsGenesis Vascular Of Salt Lake, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK DALE JOHNSON MD

Family Medicine

6321 S REDWOOD RD, SUITE 201
SALT LAKE CITY, UT 84123

Salt Lake County (801) 265-2212

SABRINA L. STEELE PA-C

Physician Assistant (Medical)

6321 S REDWOOD RD, SUITE 201
TAYLORSVILLE, UT 84123

Salt Lake County (801) 265-2212

REDWOOD INJURY TREATMENT CENTER

Clinic/Center (Physical Therapy)

6321 S REDWOOD RD, SUITE 105
TAYLORSVILLE, UT 84123

Salt Lake County (801) 904-3089

TANYA CHESLEY PA-C

Physician Assistant

6321 S REDWOOD RD, STE 201
SALT LAKE CITY, UT 84123

Salt Lake County (801) 265-2212

REDWOOD INJURY TREATMENT CENTER INC.

Family Medicine

6321 S REDWOOD RD, SUITE 105
TAYLORSVILLE, UT 84123

Salt Lake County (801) 904-3089

DR. ANNE NGUYEN DMD

Dentist (General Practice)

6321 S REDWOOD RD
TAYLORSVILLE, UT 84123

Salt Lake County (801) 590-8694

LOGAN LOCKE D.D.S.

Dentist (General Practice)

6321 S REDWOOD RD, SUITE 206
TAYLORSVILLE, UT 84123

Salt Lake County (801) 590-8694

ROBYN JOHNSON FNP-BC

Nurse Practitioner (Family)

6321 S REDWOOD RD, SUITE 102
TAYLORSVILLE, UT 84123

Salt Lake County (801) 685-7246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Vascular Of Salt Lake's NPI number?

The NPI number for Genesis Vascular Of Salt Lake is 1104361591. It was assigned to this organization in the NPPES registry on December 21, 2016. The provider is doing business as Genesis Vascular Of Salt Lake, LLC.

Where is Genesis Vascular Of Salt Lake located?

Genesis Vascular Of Salt Lake is located at 6321 S Redwood Rd Suite 102, Salt Lake City, UT 84123. The listed phone number is (385) 388-8003.

What is Genesis Vascular Of Salt Lake's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Genesis Vascular Of Salt Lake was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.