OrganizationActive
Intermountain Vein Center
NPI 1104959758 · Specialist · Provo, UT
Provider details
- NPI number
- 1104959758
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- L. Jensen, Coo(801) 225-6246
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1055 N 300 W
#308
Provo, UT 84604-3344
Phone: (801) 379-6700
Street-level locationGet directions
Mailing address
283 E 930 S
Orem, UT 84058-5001
Other names (DBA / former)
- Other name
- Utah Valley Radiology Assoc. Inc.
Registry dates
- Enumerated
- 2007-03-13
- 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.