OrganizationActive
Oral & Maxillofacial Imaging Center, Inc.
NPI 1013069848 · Dental Laboratory · Midvale, UT
Provider details
- NPI number
- 1013069848
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Duane Perry, President(801) 942-5003
- License
- 39396 (UT)
Specialties & taxonomies
Laboratories
Practice location
7001 S 900 E
Suite 310
Midvale, UT 84047-1718
Phone: (801) 255-8899
Approximate (ZIP-level) locationGet directions
Mailing address
7001 S 900 E
Midvale, UT 84047-1718
Other names (DBA / former)
- Other name
- Omic
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.