MONOVO LLC NPI 1457058646

NPI Information

  • NPI: 1457058646
  • Provider Name: MONOVO LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 2578 W 600 N STE 201
    LINDON, UT
    ZIP 84042
  • Phone: (801) 896-9868

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NPI Details

MONOVO LLC is a family medicine in Lindon, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MONOVO LLC NPI is 1457058646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2578 W 600 N STE 201
LINDON, UT
ZIP 84042-260
Phone: (801) 896-9868
Fax: (801) 823-6337

The provider's authorized official is Tyson Wade Lewis .
The authorized official title is Director Of Clinical Operations and has the following contact phone number (801) 380-4462.

The enumeration date for this NPI number is 2/8/2023 and was last updated on 2/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2207Q00000XFamily MedicineYes
3261QH0100XClinic/CenterHealth ServiceNo
4261QP2300XClinic/CenterPrimary CareNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7363LF0000XNurse PractitionerFamilyNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
9363LP2300XNurse PractitionerPrimary CareNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11396493086MEDICAIDUTAH
21407407679MEDICAIDUTAH
31205288628MEDICAIDUTAH
41578118659MEDICAIDUTAH
51275576274MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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