institution
Integrated Professional Serv Llc
Sleep Disorder Diagnostic Clinic/Center in Salt Lake City, Utah
NPI 1023183043

Integrated Professional Serv Llc is a Sleep Disorder Diagnostic Clinic/Center based in Salt Lake City, UT and is specialized in Sleep Disorder Diagnostic. Integrated Professional Serv Llc practices in Salt Lake City, UT. The NPI Number for Integrated Professional Serv Llc is 1023183043 and holds a License No. 44633 (Utah).

The current practice location address for Integrated Professional Serv Llc is 515 E 4500 S, Salt Lake City, UT and can be reached out via phone at 801-747-0921 and via fax at 801-747-0986. You can also correspond with Integrated Professional Serv Llc through the mailing address at PO BOX 651004, SALT LAKE CITY, UT - 84165-1004 (mailing address contact number: 801-747-0921).

Location: 515 E 4500 S, Salt Lake City, UT, 84165-1004
institution
Provider Profile Details
NPI Number
1023183043
Provider Name
Integrated Professional Serv Llc
Credential
Provider Entity Type
Organization
Address
515 E 4500 S, Salt Lake City, UT, 84165-1004
Phone Number
801-747-0921
Fax Number
801-747-0986
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
470001928 01 UT RR MEDICARE
606218700 01 UT ACS US DEPT. OF LABOR
QM0000061972 01 UT ALTIUS HEALTH PLANS
51803040100001 01 UT BLUE CROSS BLUE SHIELD
72595 01 UT PEHP
institution
Provider Business Practice Location Address Details
Address
515 E 4500 S
City
State
Zip
84107-4500
Phone Number
801-747-0921
Fax Number
801-747-0986
person
Provider Business Mailing Address Details
Address
515 E 4500 S
City
State
Zip
84107-4500
Phone Number
801-747-0921
Fax Number
801-747-0986
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Sleep Disorder Diagnostic
Taxonomy
License No.
44633 (Utah)
Definition
Definition to come...
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