| NPI | 1003046137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN LATHAM CEO 801-226-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 12269678-002-stc) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |