Organization Active NPI

Marquardt Professional Corporation

Doing business as Moab Immediate Care and Xray

  • Urgent Care Clinic/Center
  • Moab, UT
National Provider Identifier
1467631507
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
1623961205 Issued in UT
Legal business name
MARQUARDT PROFESSIONAL CORPORATION
Doing business as
Moab Immediate Care and Xray
Practice address
267 N Main St
Moab, UT 84532-2342
Phone
(435) 259-5276
Fax
(435) 259-5277
NPI assigned
Oct 25, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Donald Nilan Marquardt, MD, PHDNPI 1295717759
Title
President, Marquardt Prof Corp
Phone
(435) 259-5276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 1623961205 UT Primary

Addresses

Primary practice location

267 N Main St
Moab, UT 84532-2342

Mailing address

267 N Main St
Moab, UT 84532-2342
Phone (435) 259-5276

Other names 1

  • Moab Immediate Care and Xray Doing business as

National Provider Directory

National Provider Directory

Locations

267 N Main St
Moab, UT 84532
Phone (435) 259-0408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1467631507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322342",
            "telephone_number": "435-259-5276",
            "fax_number": "435-259-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 N MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322342",
            "telephone_number": "435-259-5276",
            "fax_number": "435-259-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUARDT PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MARQUARDT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "NILAN",
        "authorized_official_title_or_position": "PRESIDENT, MARQUARDT PROF CORP",
        "authorized_official_telephone_number": "435-259-5276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,  PHD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "UT",
            "license": "1623961205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moab Immediate Care and Xray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moab, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.