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

Western States Medical LLC

Organization Electroneurodiagnostic Specialist/Technologist · NPI 1124250592

Western States Medical LLC is an Electroneurodiagnostic Specialist/Technologist in Washington Terrace, Utah. Registered with an NPI since 2009.

In the registry since
2009
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

448 E 5350 S Ste B
Washington Terrace, UT 84405-5415
Phone: (801) 540-4564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1124250592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cary Fairbourn — President · (801) 540-4564
NPI enumeratedAugust 18, 2009
Last updated in NPPESAugust 18, 2009
Mailing address448 E 5350 S Ste B, Washington Terrace, UT 84405-5415

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