OrganizationActive
East Side Imaging, LLC
NPI 1316425432 · Physiological Laboratory · South Salt Lake, UT
Provider details
- NPI number
- 1316425432
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Albert Van Kirk, President and Ceo(330) 653-3968
Specialties & taxonomies
Laboratories
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
3702 S State St Ste 111
South Salt Lake, UT 84115-5078
Phone: (801) 288-9671
Fax: (801) 288-9583
Street-level locationGet directions
Mailing address
Po Box 645846
Cincinnati, OH 45264-5846
Other names (DBA / former)
- Doing business as
- Rayus Radiology
Registry dates
- Enumerated
- 2018-07-31
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.