# LITHOTRIPSY ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1982144978
- **Authorized official:** STAN FERRIN RT(R) (GENERAL MANAGER)
- **Authorized official phone:** (801) 791-8851

## Contact information

- **Practice address:** 3145 N 750 E STE 2, LAYTON, UT 84041-8695
- **Practice address phone:** (801) 791-8851
- **Mailing address:** PO BOX 702, LAYTON, UT 84041-0702
- **Mailing address phone:** (801) 791-8851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 921186185401 | UT | Yes |

## Other

- **Enumeration date:** 02/24/2017
- **Last updated:** 02/24/2017
