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CAROLS PERSONAL MASTECTOMY BOUTIQUE
NPI 1356522304
Durable Medical Equipment & Medical Supplies in Salt Lake City, UT

Active since November 19, 2007
3165 S MAIN ST, SALT LAKE CITY, UT 84115(801) 483-1262(801) 483-1287 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carols Personal Mastectomy Boutique NPPES

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

CAROLS PERSONAL MASTECTOMY BOUTIQUE (NPI 1356522304) is a healthcare organization registered as a durable medical equipment & medical supplies in Salt Lake City, Utah and active in the NPI registry since November 2007. The organization lists Gary R Stenquist, Owner, as its authorized official.

NPPES Registry Identity

NPI1356522304
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCAROLS PERSONAL MASTECTOMY BOUTIQUE
Location Address3165 S MAIN STSalt Lake City, UT 84115-3748
Mailing Address3165 S Main StSalt Lake City, UT 84115-3748 · (801) 483-1262 · Fax (801) 483-1287
Phone(801) 483-1262
Fax(801) 483-1287
Organization SubpartNo
Authorized OfficialGary R StenquistOwner · (801) 483-1262
Enumeration DateNovember 19, 2007
Last NPPES UpdateNovember 28, 2011
✔ NPI 1356522304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in UT · 1744P3200X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3165 S MAIN ST, Salt Lake City, UT 84115
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Other Identifiers 1

Medicare NSC4278640001UT

Other Providers at the Same Location NPPES

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

CAROLS MASTECTOMY SHOPE
Durable Medical Equipment & Medical Supplies
3165 S MAIN ST
S SALT LAKE, UT 84115
Salt Lake County (801) 483-1262

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 Carols Personal Mastectomy Boutique's NPI number?

The NPI number for Carols Personal Mastectomy Boutique is 1356522304. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Carols Personal Mastectomy Boutique located?

Carols Personal Mastectomy Boutique is located at 3165 S Main St, Salt Lake City, UT 84115. The listed phone number is (801) 483-1262.

What is Carols Personal Mastectomy Boutique's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Carols Personal Mastectomy Boutique was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.