Organization
HOME CLINIX UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER CLARK (OWNER)
(801) 980-1595
Entity
Organization
Contact information
Practice address
4337 W OXFORD ST, CEDAR HILLS, UT 84062-8638
(801) 980-1595
Mailing address
4337 W OXFORD ST, CEDAR HILLS, UT 84062-8638
(801) 980-1595
(801) 890-3434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
Other
Enumeration date
12/19/2021
Last updated
08/29/2025
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