Genesis Vascular of Salt Lake
NPI 1104361591 · Interventional Cardiology Physician · Salt Lake City, UT
Genesis Vascular of Salt Lake is a Interventional Cardiology Physician organization in Salt Lake City, UT (NPI 1104361591).
Provider details
- NPI number
- 1104361591
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Genesis Vascular of Salt Lake
- Organization subpart
- Yes
- Authorized official
- Dennis Munford, Manager(385) 388-8003
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Genesis Vascular of Salt Lake, LLC
- Doing business as
- Genesis Vascular of Salt Lake, LLC
Registry dates
- Enumerated
- 2016-12-21
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Frequently asked questions
- What is Genesis Vascular of Salt Lake's NPI number?
- Genesis Vascular of Salt Lake's National Provider Identifier (NPI) is 1104361591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Vascular of Salt Lake?
- Genesis Vascular of Salt Lake is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Genesis Vascular of Salt Lake located?
- Genesis Vascular of Salt Lake's practice location on file with NPPES is 6321 S Redwood Rd, Salt Lake City, UT 84123-6798.
- What is Genesis Vascular of Salt Lake's phone number?
- The practice phone number listed in the NPPES registry for Genesis Vascular of Salt Lake is (385) 388-8003.
- Who is the authorized official for Genesis Vascular of Salt Lake?
- The authorized official listed on Genesis Vascular of Salt Lake's NPPES record is Dennis Munford, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Vascular of Salt Lake's NPI active?
- Yes — Genesis Vascular of Salt Lake's NPI (1104361591) is active in the NPPES registry as of the last update on 2020-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.