# MEDICAL MARTS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811107337
- **Authorized official:** MR. PAUL MATHEWSON (DIRECTOR OF PAYER RELATIONS)
- **Authorized official phone:** (702) 562-0458

## Contact information

- **Practice address:** 1018 WASHINGTON BLVD, OGDEN, UT 84404-4949
- **Practice address phone:** (801) 392-7100
- **Mailing address:** 2685 S RAINBOW BLVD, SUITE 112, LAS VEGAS, NV 89146-5182
- **Mailing address phone:** (702) 562-0458
- **Mailing address fax:** (847) 256-1951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 6571785-8019 | UT | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020