MEDICALLY DIRECTED CARE CLINIC SALT LAKE LLC - NPI 1548969306

Q: What is Medically Directed Care Clinic Salt Lake LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Medically Directed Care Clinic Salt Lake Llc NPPES

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

MEDICALLY DIRECTED CARE CLINIC SALT LAKE LLC (NPI 1548969306), doing business as Mdc Clinic, is a healthcare organization registered as a clinic/center in Salt Lake City, Utah and active in the NPI registry since March 2023. The organization lists Aj Yergensen, Admin, as its authorized official.

NPPES Registry Identity

NPI1548969306

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMEDICALLY DIRECTED CARE CLINIC SALT LAKE LLC

Location Address4465 S 900 E STE 2754Salt Lake City, UT 84124-2469

Mailing Address4465 S 900 E Ste 2754Salt Lake City, UT 84124-2469

Phone(435) 300-0472

Organization SubpartNo

Authorized OfficialAj YergensenAdmin · (435) 986-9369

Enumeration DateMarch 1, 2023

NPPES CertifiedMarch 1, 2023

✔ NPI 1548969306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4465 S 900 E STE 2754, Salt Lake City, UT 84124

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Other Names 1

Doing Business AsMdc Clinic

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 Medically Directed Care Clinic Salt Lake LLC's NPI number?

The NPI number for Medically Directed Care Clinic Salt Lake LLC is 1548969306. It was assigned to this organization in the NPPES registry on March 1, 2023. The provider is doing business as Mdc Clinic.

Where is Medically Directed Care Clinic Salt Lake LLC located?

Medically Directed Care Clinic Salt Lake LLC is located at 4465 S 900 E Ste 2754, Salt Lake City, UT 84124. The listed phone number is (435) 300-0472.

What is Medically Directed Care Clinic Salt Lake LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Medically Directed Care Clinic Salt Lake LLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.