NPI Code Details Logo

NPI 1578280145

NPI 1578280145 : PEEJAMAS, LLC : SALT LAKE CITY, UT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1578280145
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PEEJAMAS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/25/2022
-----------------------------------------------------
    Last Update Date     |    10/25/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10 W 100 S STE 510 
-----------------------------------------------------
    City                 |    SALT LAKE CITY
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84101-1598
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-915-1307
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10 W 100 S STE 510 
-----------------------------------------------------
    City                 |    SALT LAKE CITY
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84101-1598
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-915-1307
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     CRAIG  HAMMOND 
-----------------------------------------------------
    Credential           |    MBA
-----------------------------------------------------
    Telephone            |    801-915-1307
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.