UTAH LUNG CENTER, LLC

WEST JORDAN, UT
NPI1093923591
Entity TypeOrganization
Authorized ContactIMAD S FARRUKH
President
801-562-5864
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  180183-1205)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: UT  180183-1205)
Enumeration Date2007-05-18
Last Update Date2020-08-22
Business Address
UTAH LUNG CENTER, LLC
3584 W 9000 S
WEST JORDAN, UT 84088
Phone number: 801-562-5864
Mailing Address
UTAH LUNG CENTER, LLC
PO BOX 150173
OGDEN, UT 84415
Phone number: 801-479-0601