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NIC
NPI 1205232923
Clinic/Center in Provo, UT

Active since November 06, 2014
1700 N STATE ST, SUITE 16, PROVO, UT 84604(801) 822-5644(888) 258-9831 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nic NPPES

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

NIC (NPI 1205232923) is a healthcare organization registered as a clinic/center in Provo, Utah and active in the NPI registry since November 2014. The organization lists Mariano Reginato, President, as its authorized official.

NPPES Registry Identity

NPI1205232923
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNAHUEL IMAGE CENTER
Location Address1700 N STATE ST, SUITE 16Provo, UT 84604-1011
Mailing Address1700 N State St, Suite 16Provo, UT 84604-1011 · (801) 822-5644 · Fax (888) 258-9831
Phone(801) 822-5644
Fax(888) 258-9831
Organization SubpartNo
Authorized OfficialMariano ReginatoPresident · (970) 250-6170
Enumeration DateNovember 6, 2014
✔ NPI 1205232923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1700 N STATE ST, Provo, UT 84604
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Other Names 1

Doing Business AsNic

Frequently Asked Questions

What is NAHUEL IMAGE CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1205232923, enumerated as an "organization" on November 06, 2014.

Where is the provider located?

The provider is located at 1700 N STATE ST SUITE 16 PROVO, UT 84604 and the phone number is (801) 822-5644.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.