JORDAN RIDGE FAMILY MEDICINE LLC
NPI 1841872728
Clinic/Center - Radiology, Mobile Mammography in Sandy, UT

Active since April 21, 2021
1403 EAST SEGO LANE, SUITE 100, SANDY, UT 84092(385) 274-3959(385) 274-3970 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2022, Apr 21, 2021 (2 updates tracked since 2021).

About Jordan Ridge Family Medicine Llc NPPES

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

JORDAN RIDGE FAMILY MEDICINE LLC (NPI 1841872728) is a healthcare organization registered as a radiology, mobile mammography in Sandy, Utah and active in the NPI registry since April 2021. The organization lists Emily Castillo, Manager, as its authorized official.

NPPES Registry Identity

NPI1841872728
Entity TypeOrganization
Primary Taxonomy261QR0207X
Legal Business NameJORDAN RIDGE FAMILY MEDICINE LLC
Location Address1403 EAST SEGO LANE, SUITE 100Sandy, UT 84092
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3253
Fax(385) 274-3970
Organization SubpartNo
Authorized OfficialEmily CastilloManager · (702) 480-2550
Enumeration DateApril 21, 2021
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
NPI 1841872728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Radiology, Mobile MammographyAmbulatory Health Care Facilities
Taxonomy Code261QR0207X
1403 EAST SEGO LANE, Sandy, UT 84092

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 Jordan Ridge Family Medicine LLC's NPI number?

The NPI number for Jordan Ridge Family Medicine LLC is 1841872728. It was assigned to this organization in the NPPES registry on April 21, 2021.

Where is Jordan Ridge Family Medicine LLC located?

Jordan Ridge Family Medicine LLC is located at 1403 East Sego Lane Suite 100, Sandy, UT 84092. The listed phone number is (385) 274-3959.

What is Jordan Ridge Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile Mammography, with taxonomy code 261QR0207X.

When was this NPI record last updated?

The NPPES record for Jordan Ridge Family Medicine LLC was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.