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Medsource Medical, Llc
Durable Medical Equipment & Medical Supplies in Sandy, Utah
NPI 1679859169

Medsource Medical, Llc is a Durable Medical Equipment & Medical Supplies based in Sandy, UT. Medsource Medical, Llc practices in Sandy, UT. The NPI Number for Medsource Medical, Llc is 1679859169 and holds a License No. 8119067-1714 (Utah).

The current practice location address for Medsource Medical, Llc is 9883 S 500 W, Sandy, UT and can be reached out via phone at 877-577-7767 and via fax at 801-727-0092.

Location: 9883 S 500 W, Sandy, UT, 84070-2561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679859169
Provider Name
Medsource Medical, Llc
Credential
Provider Entity Type
Organization
Address
9883 S 500 W, Sandy, UT, 84070-2561
Phone Number
877-577-7767
Fax Number
801-727-0092
Provider Enumeration Date
10/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4612138 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
9883 S 500 W
City
Sandy
State
Utah
Zip
84070-2561
Phone Number
877-577-7767
Fax Number
801-727-0092
person
Provider Business Mailing Address Details
Address
9883 S 500 W
City
Sandy
State
Utah
Zip
84070-2561
Phone Number
877-577-7767
Fax Number
801-727-0092
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
8119067-1714 (Utah)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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