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Contact Information

SUMMIT LASER MEDICAL ARTS, LLC
2952 CAITLAND CT
SALT LAKE CITY, UT84121-7018
 Phone: 801-414-5339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SUMMIT LASER MEDICAL ARTS, LLC

NPI # 1437347770
LBN Legal business name SUMMIT LASER MEDICAL ARTS, LLC
Authorized official DAVID FEUER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2007
Last updated 10/11/2007 - About 19 years ago
Identifiers
UT License # 5252145-1205
UT Medicaid D4937
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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