Organization Active NPI

L:Ymphatic Solutions, LLC

Doing business as Lymphatic Solutions

  • Multi-Specialty Clinic/Center
  • St George, UT
National Provider Identifier
1407376668
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
L:YMPHATIC SOLUTIONS, LLC
Doing business as
Lymphatic Solutions
Practice address
63 S 300 E Ste 101
St George, UT 84770-2948
Phone
(435) 674-7515
Fax
(435) 674-7565
NPI assigned
Jun 20, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Mark J. Youngberg
Title
Owner
Phone
(435) 674-7515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

63 S 300 E Ste 101
St George, UT 84770-2948

Mailing address

PO Box 503
Santa Clara, UT 84765-0503
Phone (435) 674-7515

Other names 1

  • Lymphatic Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

63 S 300 E
Ste 101
St George, UT 84770
Phone (435) 574-9330

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1407376668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847650503",
            "telephone_number": "435-674-7515",
            "fax_number": "435-674-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 S 300 E STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702948",
            "telephone_number": "435-674-7515",
            "fax_number": "435-674-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L:YMPHATIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "YOUNGBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-674-7515"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lymphatic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.