Healthcare Provider Details

I. General information

NPI: 1881578771
Provider Name (Legal Business Name): RM MED UT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4088 W 1820 S
SALT LAKE CITY UT
84104-4885
US

IV. Provider business mailing address

4088 W 1820 S
SALT LAKE CITY UT
84104-4885
US

V. Phone/Fax

Practice location:
  • Phone: 801-975-7799
  • Fax: 801-975-7460
Mailing address:
  • Phone: 801-433-2741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN ALLAN GARCIA
Title or Position: OWNER
Credential:
Phone: 801-975-7799