Healthcare Provider Details

I. General information

NPI: 1992078349
Provider Name (Legal Business Name): AFTER HOURS MEDICAL LLC, DBA MEDALLUS MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2012
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 E 12300 S
DRAPER UT
84020-9095
US

IV. Provider business mailing address

10433 S REDWOOD RD STE 2
SOUTH JORDAN UT
84095-8502
US

V. Phone/Fax

Practice location:
  • Phone: 801-545-0600
  • Fax: 801-545-0626
Mailing address:
  • Phone: 801-260-1919
  • Fax: 801-260-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE S ARAGON
Title or Position: COMPLIANCE ADMIN ASST
Credential:
Phone: 801-260-1919