1. Home
  2. Directory
  3. Utah
  4. Washington Terrace
  5. Specialist Technologist Other
  6. NPI Profile

WESTERN STATES MEDICAL LLC
NPI 1124250592
Specialist/Technologist, Other - Electroneurodiagnostic in Washington Terrace, UT

Active since August 18, 2009
448 E 5350 S STE B, WASHINGTON TERRACE, UT 84405(801) 540-4564 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western States Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN STATES MEDICAL LLC (NPI 1124250592) is a healthcare organization registered as an electroneurodiagnostic in Washington Terrace, Utah and active in the NPI registry since August 2009. The organization lists Cary Fairbourn, President, as its authorized official.

NPPES Registry Identity

NPI1124250592
Entity TypeOrganization
Primary Taxonomy246ZE0600X
Legal Business NameWESTERN STATES MEDICAL LLC
Location Address448 E 5350 S STE BWashington Terrace, UT 84405-5415
Mailing Address448 E 5350 S Ste BWashington Terrace, UT 84405-5415
Phone(801) 540-4564
Organization SubpartNo
Authorized OfficialCary FairbournPresident · (801) 540-4564
Enumeration DateAugust 18, 2009
✔ NPI 1124250592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
448 E 5350 S STE B, Washington Terrace, UT 84405
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMBER RIDGE HOLDINGS LLC
Psychiatry & Neurology (Clinical Neurophysiology)
448 E 5350 S STE B
WASHINGTON TERRACE, UT 84405
Weber County (801) 540-4564

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western States Medical LLC's NPI number?

The NPI number for Western States Medical LLC is 1124250592. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Western States Medical LLC located?

Western States Medical LLC is located at 448 E 5350 S Ste B, Washington Terrace, UT 84405. The listed phone number is (801) 540-4564.

What is Western States Medical LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Western States Medical LLC was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.