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SOUTH SUMMIT PEDIATRICS. LLC NPI 1760490122


NPI Information

NPI: 1760490122
Provider Name: SOUTH SUMMIT PEDIATRICS. LLC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
267 E TRAVERSEPOINT DRIVE
DRAPER, UT
ZIP 84020
Phone: (801) 567-9780
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SOUTH SUMMIT PEDIATRICS. LLC is a legal medicine in Draper, UT. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. SOUTH SUMMIT PEDIATRICS. LLC NPI is 1760490122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

267 E TRAVERSEPOINT DRIVE
DRAPER, UT
ZIP 84020
Phone: (801) 567-9780
Fax: (801) 567-9826

The provider's authorized official is Paul S Lei .
The authorized official title is Owner and has the following contact phone number (801) 567-9780.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 11/13/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal Medicine363788-1205UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11760490122MEDICARE PINUTAH

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: 11/14/2023

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