Organization
UTAH DIABETIC SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LABRUM (OWNER)
(385) 630-4447
Entity
Organization
Contact information
Practice address
114 W WINCHESTER ST STE 201, MURRAY, UT 84107-7710
(385) 630-4447
Mailing address
114 W WINCHESTER ST STE 201, MURRAY, UT 84107-7710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
04/14/2021
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