Healthcare Provider Details

I. General information

NPI: 1992078349
Provider Name (Legal Business Name): AFTER HOURS MEDICAL LLC, DBA MEDALLUS MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2012
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3934 S 2300 E SUITE D
SALT LAKE CITY UT
84124-2848
US

IV. Provider business mailing address

10433 S. REDWOOD ROAD SUITE 2
SOUTH JORDAN UT
84095
US

V. Phone/Fax

Practice location:
  • Phone: 801-849-8500
  • Fax: 801-849-8502
Mailing address:
  • Phone: 801-260-1919
  • Fax: 801-260-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE S ARAGON
Title or Position: COMPLIANCE ADMIN ASST
Credential:
Phone: 801-260-1919