Seclark Holdings, LLC Dba Wasatch Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

27447 Issued in UT

Legal business name

SECLARK HOLDINGS, LLC DBA WASATCH MEDICAL SUPPLY

Practice address

1342 W 7800 S
West Jordan, UT 84088-4100

Phone

(801) 566-5844

Fax

(801) 566-5605

NPI assigned

Jul 12, 2012

Last updated

Jul 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Clark

Title

Co-Owner

Phone

(801) 718-2755

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1437414612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884100",
            "telephone_number": "801-566-5844",
            "fax_number": "801-566-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884100",
            "telephone_number": "801-566-5844",
            "fax_number": "801-566-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECLARK HOLDINGS, LLC DBA WASATCH MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "801-718-2755"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "27447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Eden Scott
• Sean D Biggs, MD (Jordan Landing Clinic)
• Aubrey Ana Searle
• Jeremy Seastrand, DO
• Julie Seavey
• Aleksi Elora Selby
• Christopher David Selin, CRNA
• Guillermina Serrano
• Sonya-Mae Servin
• Wade M Sessions, MD

• Durable Medical Equipment & Medical Supplies in West Jordan, UT
• Providers in West Jordan, 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 Jul 12, 2012; 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.