OrganizationActive
Nahuel Image Center
NPI 1205232923 · Clinic/Center · Provo, UT
Provider details
- NPI number
- 1205232923
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mariano Reginato, President(970) 250-6170
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1700 N State St
Suite 16
Provo, UT 84604-1011
Phone: (801) 822-5644
Fax: (888) 258-9831
Street-level locationGet directions
Mailing address
1700 N State St
Provo, UT 84604-1011
Other names (DBA / former)
- Doing business as
- Nic
Registry dates
- Enumerated
- 2014-11-06
- Last updated
- 2014-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.