Diamond DME Ut, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIAMOND DME UT, LLC

Practice address

1490 E Foremaster Dr Ste 140
Saint George, UT 84790-4532

Phone

(435) 319-8330

Fax

(855) 740-1560

NPI assigned

Feb 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elijah Matthew Hillstrom, C.PEDNPI 1386982452

Title

Manager

Phone

(702) 219-7126

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elijah Matthew Hillstrom, C.PED

  • Pedorthist
  • Vancouver, WA
  • NPI 1386982452
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1194424150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 140",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904532",
            "telephone_number": "435-319-8330",
            "fax_number": "855-740-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 140",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904532",
            "telephone_number": "435-319-8330",
            "fax_number": "855-740-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND DME UT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "HILLSTROM",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-219-7126",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lyn Devooght
• Leroy O Dewitt III, D.C.
• Sulakshna Dhamija, MD
• Diabetes and Wound Care Clinic of St George
• Diabetes Treatment Centers of America, LLC
• Scott Diamond, DO
• Eliza Dick
• Paula Dick
• Kyler Dickerson
• Jessica Marie Dickison, ACMHC

• Durable Medical Equipment & Medical Supplies in Saint George, UT
• Providers in Saint George, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.