Healthcare Provider Details

I. General information

NPI: 1487233904
Provider Name (Legal Business Name): RSC1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1046 E 100 S STE D
SALT LAKE CITY UT
84102-1520
US

IV. Provider business mailing address

375 WOODLAND DR
PARK CITY UT
84098-5153
US

V. Phone/Fax

Practice location:
  • Phone: 435-300-0472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOE REMES
Title or Position: PARTNER
Credential:
Phone: 435-300-0472