East Side Imaging, LLC
NPI 1316425432ActiveOrganization· Physiological Laboratory· South Salt Lake, UT
Physiological Laboratory in South Salt Lake, Utah, registered in NPPES in July 2018. The authorized official on file is Albert C. Van Kirk, President And Ceo.
Overview
| NPI | 1316425432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2018 |
| Last updated in NPPES | Aug 11, 2021 |
| Certified by provider | Aug 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|