124 South Fairfield LLC
124 South Fairfield LLC is a Clinic/Center in Layton, Utah. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
124 S Fairfield Rd Ste BLayton, UT 84041-7106
Phone: (801) 719-2316
Fax: (801) 336-4873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1578100186 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Mansell — Manager · (801) 791-2202 |
| NPI enumerated | December 2, 2019 |
| Last updated in NPPES | September 11, 2020 |
| Certification date | September 11, 2020 |
| Mailing address | 124 S Fairfield Rd Ste B, Layton, UT 84041-7106 |
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