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ATLAS MEDICAL UTAH LLC
NPI 1568928133
Internal Medicine in Logan, UT

Active since February 19, 2019CLIA 46D2303188 · Waiver
258 S MAIN ST STE 210, LOGAN, UT 84321(435) 383-6120(435) 557-8003 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Mar 5, 2019, Feb 19, 2019 (3 updates tracked since 2019).

About Atlas Medical Utah Llc NPPES

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

ATLAS MEDICAL UTAH LLC (NPI 1568928133), doing business as Sentry Medical, is a healthcare organization registered as an internal medicine in Logan, Utah and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through April 21, 2028, maintains a secondary practice location in Preston, and lists Gregory Chad Mangum, Owner, as its authorized official.

NPPES Registry Identity

NPI1568928133
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameATLAS MEDICAL UTAH LLC
Location Address258 S MAIN ST STE 210Logan, UT 84321-5768
Mailing AddressPo Box 86Providence, UT 84332-0086 · (435) 383-6120 · Fax (435) 557-8003
Phone(435) 383-6120
Fax(435) 557-8003
Organization SubpartNo
Authorized OfficialGregory Chad MangumOwner · (435) 383-6120
Enumeration DateFebruary 19, 2019
Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1568928133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
258 S MAIN ST STE 210, Logan, UT 84321
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Other Names 1

Doing Business AsSentry Medical

Secondary Practice Location 1

Location 130 N State StPreston, ID 83263-1237 · Phone (435) 383-6120 · Fax (435) 557-8003

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2303188

Atlas Medical Dba Sentry Medical · Logan, UT
Active · expires Apr 21, 2028
CLIA Number46D2303188
Laboratory TypePractitioner Other
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorMelissa Feser
Laboratory Phone(435) 383-6120
Laboratory LocationAtlas Medical Dba Sentry Medical258 S Main St 210, Logan, UT 84321
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. RYAN H LARSEN MD
General Practice
258 S MAIN ST STE 210
LOGAN, UT 84321
Cache County (435) 383-6120
INTEGRITY BC INC
Home Health
258 S MAIN ST STE 210
LOGAN, UT 84321
Cache County (435) 723-9000
CLARK JOHNSON
Physical Therapist
258 S MAIN ST STE 210
LOGAN, UT 84321
Cache County (435) 383-6120
TODD KRISTIAN LARSON PT
Physical Therapist
258 S MAIN ST STE 210
LOGAN, UT 84321
Cache County (435) 383-6120
WALKER J RILEY
Physical Therapist
258 S MAIN ST STE 210
LOGAN, UT 84321
Cache County (435) 383-6120
ATLAS MEDICAL ACO LLC
Clinic/Center
258 S MAIN ST STE 210
LOGAN, UT 84321
Cache County (435) 999-9510
INTEGRITY HOSPICE, LLC.
Hospice Care, Community Based
258 S MAIN ST STE 210
LOGAN, UT 84321
Cache County (435) 723-9000

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 Atlas Medical Utah LLC's NPI number?

The NPI number for Atlas Medical Utah LLC is 1568928133. It was assigned to this organization in the NPPES registry on February 19, 2019. The provider is doing business as Sentry Medical.

Where is Atlas Medical Utah LLC located?

Atlas Medical Utah LLC is located at 258 S Main St Ste 210, Logan, UT 84321. The listed phone number is (435) 383-6120.

What is Atlas Medical Utah LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Atlas Medical Utah LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2303188) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlas Medical Utah LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Atlas Medical Utah LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atlas Medical Utah LLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.