124 South Fairfield Llc

LBN: 124 South Fairfield Llc
124 South Fairfield Llc is an health care organization with primary practice located at 124 S Fairfield Rd Ste B , Layton UT 84041-7106. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. 124 South Fairfield Llc can be contacted via phone (801) 719-2316, or through Mansell, Eric via phone (801) 791-2202.

Contact Information

Primary practice address
124 S Fairfield Rd Ste B Layton UT 84041-7106
Phone: (801) 719-2316
Fax: (801) 336-4873
Website:
Map and Directions
Authorized official contact:
Name: Mansell, Eric
Phone: (801) 791-2202

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1578100186
LBN Legal business name 124 South Fairfield Llc
DBA Doing business as
Authorized official Mansell, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2019
Last updated Sep 11th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers