Healthcare Provider Details
I. General information
NPI: 1306025366
Provider Name (Legal Business Name): MEDSOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2007
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
621 FIRST AVE SUITE 100
SALT LAKE CITY UT
84103-3403
US
IV. Provider business mailing address
2922 WOOD HOLLOW WAY
BOUNTIFUL UT
84010-1240
US
V. Phone/Fax
- Phone: 801-328-1399
- Fax: 801-355-5112
- Phone: 801-328-1399
- Fax: 801-797-9726
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 1368757-0142 |
| License Number State | UT |
VIII. Authorized Official
Name: MR.
KELLY
S.
MAUDSLEY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 801-328-1399