NPI 1326249053
Intermed, Lc
Practice location
- Address
- 8821 Redwood Rd STE D, West Jordan, UT 84088-9280
- Phone
- (801) 569-3033
- Mailing address
- 1405 W 9000 S # 161, West Jordan, UT 84088-9217
Authorised official
- Name
- Matt Carlson
- Title
- Owner
- Phone
- (801) 569-3033
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1326249053
- Entity type
- Organization
- NPI issued
- 30 May 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.