Healthcare Provider Details

I. General information

NPI: 1679675417
Provider Name (Legal Business Name): AFTER HOURS MEDICAL LLC, DBA MEDALLUS MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3451 S 5600 W SUITE #F
WEST VALLEY UT
84120-1301
US

IV. Provider business mailing address

10433 S REDWOOD RD STE 2
SOUTH JORDAN UT
84095-8502
US

V. Phone/Fax

Practice location:
  • Phone: 801-957-0900
  • Fax: 801-966-4384
Mailing address:
  • Phone: 801-260-1919
  • Fax:

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: MRS. MONIQUE S ARAGON
Title or Position: COMPLIANCE ADMIN ASST/ CREDENTIALIN
Credential:
Phone: 801-260-1919