MEDICARE: UTAH SLEEP CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1225848682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTAH SLEEP CLINIC

Provider Business Mailing Address
First Line	:	4161 N CRESTVIEW AVE
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-4716
Country	:	US
Telephone Number	:	801-319-9944
Fax Number	:

Provider Business Practice Location Address
First Line	:	7138 S HIGHLAND DR STE 215
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-3784
Country	:	US
Telephone Number	:	801-406-9505
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIE MACFARLANE
Credential	:
Telephone Number	:	801-319-9944

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	02/18/2025

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Directions to “UTAH SLEEP CLINIC ” Practice Location

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