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UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER
NPI 1417983776
Radiology - Diagnostic Ultrasound in Salt Lake City, UT

Active since June 25, 2006
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2719 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Of Utah Ob Diagnostic Center NPPES

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

UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER (NPI 1417983776) is a healthcare organization registered as a diagnostic ultrasound in Salt Lake City, Utah and active in the NPI registry since June 2006. The organization lists C. Matthew Peterson, Department Chair, as its authorized official.

NPPES Registry Identity

NPI1417983776
Entity TypeOrganization
Primary Taxonomy2085U0001X
Legal Business NameUNIVERSITY OF UTAH OB DIAGNOSTIC CENTER
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing AddressPo Box 58859Salt Lake City, UT 84158-0859 · (801) 585-5172
Phone(801) 581-2719
Organization SubpartNo
Authorized OfficialC. Matthew PetersonDepartment Chair · (801) 581-2719
Enumeration DateJune 25, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1417983776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
50 N MEDICAL DR, Salt Lake City, UT 84132
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Other Identifiers 5

Other003054800ID · Idaho Medicaid
Medicare ID-Type Unspecified000057669UT
Other100503089NV · Nevada Medicaid
Medicaid870410144009UT
Other117769900WY · Wyoming Medicaid

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 University Of Utah Ob Diagnostic Center's NPI number?

The NPI number for University Of Utah Ob Diagnostic Center is 1417983776. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is University Of Utah Ob Diagnostic Center located?

University Of Utah Ob Diagnostic Center is located at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2719.

What is University Of Utah Ob Diagnostic Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Ultrasound, with taxonomy code 2085U0001X.

What insurance does University Of Utah Ob Diagnostic Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Utah Ob Diagnostic Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Utah Ob Diagnostic Center was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.