GREEN RIVER RADIOLOGY, P.C.
NPI 1508533878
Radiology - Diagnostic Radiology in Pleasant Grove, UT
NPI Status: Active since August 25, 2021
Contact Information
1982 W PLEASANT GROVE BLVD STE L
PLEASANT GROVE, UT
ZIP 84062
Phone: (801) 563-0333
Fax: (801) 563-0335
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 46D2295280
- CLIA Cert. Type: Other - RADIOLOGY
- CLIA Exp. Date: 12-06-2025
About GREEN RIVER RADIOLOGY, P.C.
This page provides the complete NPI Profile along with additional information for Green River Radiology, P.c., a provider established in Pleasant Grove, Utah operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1508533878 assigned on August 2021. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's
- NPI
- 1508533878
- Provider Legal Name
- GREEN RIVER RADIOLOGY, P.C.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1982 W PLEASANT GROVE BLVD STE L PLEASANT GROVE, UT 84062
- Location Phone
- (801) 563-0333
- Location Fax
- (801) 563-0335
- Mailing Address
- 5775 WAYZATA BLVD STE 400 SAINT LOUIS PARK, MN 55416
- Mailing Phone
- (866) 674-7933
- Mailing Fax
- (801) 563-0335
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-25-2021
- Last Update Date
- 08-18-2025
- Code Navigator
Location Map
Secondary Locations
- 3702 S State Street Suite 111
Salt Lake City, UT 84115
(801) 869-5630
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 46D2295280
- Facility Type
- Other - RADIOLOGY
- Certificate Effective Date
- December 07, 2023
- Certificate Expiration Date
- December 06, 2025
- Laboratory Director
- ANDREW HYPIO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Green River Radiology, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1508533878, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508533878, enumerated as an "organization" on August 25, 2021.
The provider is located at 1982 W PLEASANT GROVE BLVD STE L PLEASANT GROVE, UT 84062 and the phone number is (801) 563-0333.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.
