Healthcare Provider Details

I. General information

NPI: 1801764071
Provider Name (Legal Business Name): UTAH LIPOPROTEIN APHERESIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 5600 S STE 222
MURRAY UT
84107-8164
US

IV. Provider business mailing address

111 E 5600 S STE 222
MURRAY UT
84107-8164
US

V. Phone/Fax

Practice location:
  • Phone: 801-583-8852
  • Fax: 801-606-7279
Mailing address:
  • Phone: 801-583-8852
  • Fax: 801-606-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ELIOT ASHBY BRINTON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 801-583-8852