Healthcare Provider Details

I. General information

NPI: 1770334914
Provider Name (Legal Business Name): BREAST PUMPS UNLIMITED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 N 1430 W
OREM UT
84057-6402
US

IV. Provider business mailing address

865 N 1430 W
OREM UT
84057-6402
US

V. Phone/Fax

Practice location:
  • Phone: 435-267-0141
  • Fax: 801-796-2688
Mailing address:
  • Phone: 435-267-0141
  • Fax: 801-796-2688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier14211501-1714
Identifier TypeOTHER
Identifier StateUT
Identifier IssuerDURABLE MEDICAL EQUIPMENT PROVIDERS

VIII. Authorized Official

Name: MONG DJIU MATTHEW KHO
Title or Position: CEO
Credential:
Phone: 801-787-6546