MEDICARE: DMEZ LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies	2012-27605	UT

General Provider Information

NPI Number	:	1902159403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DMEZ LLC

Provider Business Mailing Address
First Line	:	1275 S 800 E
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84097-7232
Country	:	US
Telephone Number	:	801-671-1478
Fax Number	:

Provider Business Practice Location Address
First Line	:	471 E 1000 S STE C
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-3694
Country	:	US
Telephone Number	:	801-225-4418
Fax Number	:	855-228-4222

Authorized Official
Title or Position	:	OWNER
Name	:	MR. QUINN BEARDALL
Credential	:
Telephone Number	:	801-671-1478

Provider Enumeration Date	:	10/22/2012
Last Update Date	:	02/24/2020

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