Mobile Vivitrol, Llc

LBN: Mobile Vivitrol, Llc
Mobile Vivitrol, Llc is an health care organization with primary practice located at 13032 Snow Crest Cr , Draper UT 84020. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Mobile Vivitrol, Llc can be contacted via phone (801) 898-7778, or through Richards, Mark G. via phone (801) 898-7778.

Contact Information

Primary practice address
13032 Snow Crest Cr Draper UT 84020
Phone: (801) 898-7778
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richards, Mark G.
Phone: (801) 898-7778

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1033742994
LBN Legal business name Mobile Vivitrol, Llc
DBA Doing business as
Authorized official Richards, Mark G.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2020
Last updated Mar 12th, 2021 - 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