Organization
IMPERIAL MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS CARLSON (OWNER)
(801) 913-3427
Entity
Organization
Contact information
Practice address
6689 PINES POINT WAY, WEST JORDAN, UT 84084-1899
(801) 913-3427
Mailing address
6689 PINES POINT WAY, WEST JORDAN, UT 84084-1899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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