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

Organization Lithotripsy Clinic/Center · NPI 1679767834

Western Intermountain Lithotripsy is a Lithotripsy Clinic/Center in Logan, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
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Practice location Address checks out

862 Garden Cir
Logan, UT 84321-6465
Phone: (801) 964-1200
Fax: (801) 964-1344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lithotripsy Clinic/Center (primary) Taxonomy 261QL0400X · Licence 2055 (UT)

Record details

NPI number1679767834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Kooyman — Ceo/Business Manager · (435) 757-6264
NPI enumeratedAugust 30, 2007
Last updated in NPPESAugust 7, 2013
Mailing addressPo Box 160515, Clearfield, UT 84016-0515