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

Medsource Medical, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1679859169

Medsource Medical, LLC is a Durable Medical Equipment & Medical Supplies in Sandy, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
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

9883 S 500 W
Sandy, UT 84070-2561
Phone: (877) 577-7767
Fax: (801) 727-0092
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 8119067-1714 (UT)

Record details

NPI number1679859169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Rose — Coo · (877) 577-7767
Other names Ingram Medical
NPI enumeratedOctober 27, 2011
Last updated in NPPESOctober 27, 2011
Mailing address9883 S 500 W, Sandy, UT 84070-2561

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