University Of Utah Otolaryngology Pediatrics

LBN: University Of Utah Otolaryngology Pediatrics
University Of Utah Otolaryngology Pediatrics is an health care organization with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84113-1103. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. University Of Utah Otolaryngology Pediatrics can be contacted via phone (801) 588-2000, or through Madonna, Janell I via phone (801) 587-6464.

Contact Information

Primary practice address
100 Mario Capecchi Dr Salt Lake City UT 84113-1103
Phone: (801) 588-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Madonna, Janell I
Phone: (801) 587-6464

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X

Profile Details

NPI number 1508875857
LBN Legal business name University Of Utah Otolaryngology Pediatrics
DBA Doing business as
Authorized official Madonna, Janell I
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Apr 14th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508875857 NPPES
Colorado MEDICAID 45200289
Colorado MEDICAID 57507325
Colorado MEDICAID 805957800
Colorado Other CJ3240

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