NPIMap

Organization Active NPI

Med One Medical

  • Sleep Disorder Diagnostic Clinic/Center
  • Midvale, UT
National Provider Identifier
1194723650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
17686 Issued in UT
Legal business name
MED ONE MEDICAL
Practice address
6965 Union Park Ctr
#400
Midvale, UT 84047-6008
Phone
(801) 566-6433
Fax
(801) 304-0076
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael R Treacy
Title
Owner
Phone
(801) 566-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 17686 UT Primary

Addresses

Primary practice location

6965 Union Park Ctr
#400
Midvale, UT 84047-6008

Mailing address

6965 Union Park Ctr
#400
Midvale, UT 84047-6008
Phone (801) 566-6433

National Provider Directory

National Provider Directory
Tax ID family
Med One Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6965 S Union Park Ctr
Ste 400
Midvale, UT 84047
Phone (801) 566-6433

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194723650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 UNION PARK CTR",
            "address_2": "#400",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476008",
            "telephone_number": "801-566-6433",
            "fax_number": "801-304-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 UNION PARK CTR",
            "address_2": "#400",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476008",
            "telephone_number": "801-566-6433",
            "fax_number": "801-304-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ONE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREACY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-566-6433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "UT",
            "license": "17686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.