Organization
INTERMED, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT CARLSON (OWNER)
(801) 569-3033
Entity
Organization
Contact information
Practice address
8821 REDWOOD RD STE D, WEST JORDAN, UT 84088-9280
(801) 569-3033
Mailing address
1405 W 9000 S # 161, WEST JORDAN, UT 84088-9217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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