East Side Imaging, LLC

Practice location

Address

3702 S State St STE 111, South Salt Lake, UT 84115-5078

Phone

(801) 288-9671

Fax

(801) 288-9583

Mailing address

PO Box 645846, Cincinnati, OH 45264-5846

Authorised official

Name

Albert C. van Kirk

Title

President and Ceo

Phone

(330) 653-3968

Registered specialties

Registry record

NPI

1316425432

Entity type

Organization

NPI issued

31 Jul 2018

Record last updated

11 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.