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Contact Information

SOUTH SUMMIT PEDIATRICS. LLC
267 E TRAVERSEPOINT DRIVE
DRAPER, UT84020
 Phone: 801-567-9780
 Fax: 801-567-9826
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for SOUTH SUMMIT PEDIATRICS. LLC

NPI Number 1760490122
LBN Legal business name SOUTH SUMMIT PEDIATRICS. LLC
Authorized official PAUL LEI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2006
Last updated 11/13/2007 - About 19 years ago
Identifiers
UT License # 363788-1205
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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