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WESTERN INTERMOUNTAIN LITHOTRIPSY
NPI 1679767834
Clinic/Center - Lithotripsy in Logan, UT

Active since August 30, 2007
862 GARDEN CIR, LOGAN, UT 84321(801) 964-1200(801) 964-1344 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Western Intermountain Lithotripsy NPPES

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

WESTERN INTERMOUNTAIN LITHOTRIPSY (NPI 1679767834) is a healthcare organization registered as a lithotripsy in Logan, Utah and active in the NPI registry since August 2007. The organization lists David Neil Kooyman, Ceo/business Manager, as its authorized official.

NPPES Registry Identity

NPI1679767834
Entity TypeOrganization
Primary Taxonomy261QL0400X
Legal Business NameWESTERN INTERMOUNTAIN LITHOTRIPSY
Location Address862 GARDEN CIRLogan, UT 84321-6465
Mailing AddressPo Box 160515Clearfield, UT 84016-0515 · (801) 779-4955 · Fax (801) 774-8874
Phone(801) 964-1200
Fax(801) 964-1344
Organization SubpartNo
Authorized OfficialDavid Neil KooymanCeo/business Manager · (435) 757-6264
Enumeration DateAugust 30, 2007
Last NPPES UpdateAugust 7, 2013
✔ NPI 1679767834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · LithotripsyAmbulatory Health Care Facilities
Taxonomy Code261QL0400X
License✔ Licensed in UT · 2055
862 GARDEN CIR, Logan, UT 84321
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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 Intermountain Lithotripsy's NPI number?

The NPI number for Western Intermountain Lithotripsy is 1679767834. It was assigned to this organization in the NPPES registry on August 30, 2007.

Where is Western Intermountain Lithotripsy located?

Western Intermountain Lithotripsy is located at 862 Garden Cir, Logan, UT 84321. The listed phone number is (801) 964-1200.

What is Western Intermountain Lithotripsy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Lithotripsy, with taxonomy code 261QL0400X.

When was this NPI record last updated?

The NPPES record for Western Intermountain Lithotripsy was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.