Healthcare Provider Details

I. General information

NPI: 1598601155
Provider Name (Legal Business Name): CARDINAL SLEEP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 W 800 S
SALT LAKE CITY UT
84104-4565
US

IV. Provider business mailing address

3720 W 800 S
SALT LAKE CITY UT
84104-4565
US

V. Phone/Fax

Practice location:
  • Phone: 801-515-7264
  • Fax: 417-501-8843
Mailing address:
  • Phone: 801-515-7264
  • Fax: 417-501-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: HEATHER A MOENKHOFF
Title or Position: OWNER
Credential: RRT, RPSGT
Phone: 417-179-4267