Healthcare Provider Details

I. General information

NPI: 1295070217
Provider Name (Legal Business Name): VISIBLE BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 12/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 S DIESTEL RD
SALT LAKE CITY UT
84105-1627
US

IV. Provider business mailing address

PO BOX 526437
SALT LAKE CITY UT
84152-6437
US

V. Phone/Fax

Practice location:
  • Phone: 818-253-9537
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: NICK WEAVER
Title or Position: OPERATING MANAGER
Credential:
Phone: 818-253-9537