OrganizationActive
Vanzo-Koch Enterprises, LLC
NPI 1811604630 · Mobile Mammography Clinic/Center · South Jordan, UT
Provider details
- NPI number
- 1811604630
- Entity type
- Organization
- Primary specialty
- Mobile Mammography Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rena Vanzo, Co-Founder/Ceo(217) 313-0746
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mobile Radiology Clinic/Center261QR0208X
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
10927 S Wood Stone Cir
South Jordan, UT 84095-8273
Phone: (217) 313-0746
Street-level locationGet directions
Mailing address
10927 S Wood Stone Cir
South Jordan, UT 84095-8273
Other names (DBA / former)
- Doing business as
- The Boob Bus
- Doing business as
- The Boob Bus
Registry dates
- Enumerated
- 2022-11-01
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.