Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

124 South Fairfield LLC

Organization Clinic/Center · NPI 1578100186

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.

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Practice location Address checks out

124 S Fairfield Rd Ste B
Layton, UT 84041-7106
Phone: (801) 719-2316
Fax: (801) 336-4873
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1578100186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Mansell — Manager · (801) 791-2202
NPI enumeratedDecember 2, 2019
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020
Mailing address124 S Fairfield Rd Ste B, Layton, UT 84041-7106

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