THE BOOB BUS
NPI 1811604630
Clinic/Center - Radiology, Mobile Mammography in South Jordan, UT

Active since November 01, 2022
10927 S WOOD STONE CIR, SOUTH JORDAN, UT 84095(217) 313-0746 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2024, Feb 1, 2023, Nov 1, 2022 (3 updates tracked since 2022).

About The Boob Bus NPPES

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

THE BOOB BUS (NPI 1811604630) is a healthcare organization registered as a radiology, mobile mammography in South Jordan, Utah and active in the NPI registry since November 2022. The organization lists Rena Jean Vanzo, Co-founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1811604630
Entity TypeOrganization
Primary Taxonomy261QR0207X
Legal Business NameVANZO-KOCH ENTERPRISES, LLC
Location Address10927 S WOOD STONE CIRSouth Jordan, UT 84095-8273
Mailing Address10927 S Wood Stone CirSouth Jordan, UT 84095-8273 · (217) 313-0746 · Fax (801) 453-6815
Organization SubpartNo
Authorized OfficialRena Jean VanzoCo-founder/ceo · (217) 313-0746
Enumeration DateNovember 1, 2022
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1811604630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Radiology, Mobile MammographyAmbulatory Health Care Facilities
Taxonomy Code261QR0207X
Also ListedClinic/Center · Radiology, MobileTaxonomy 261QR0208X
10927 S WOOD STONE CIR, South Jordan, UT 84095

Other Names 1

Doing Business AsThe Boob Bus

Accepted Insurance

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811604630, enumerated as an "organization" on November 01, 2022.

The provider is located at 10927 S WOOD STONE CIR SOUTH JORDAN, UT 84095 and the phone number is (217) 313-0746.

Clinic/Center with taxonomy code 261QR0207X and a focus in Radiology, Mobile Mammography.

The provider might be accepting Accepts: Molina Healthcare and University of Utah Health. Please consult your insurance carrier or call the provider to verify.