Active NPI
Marquardt Professional Corporation
Doing business as Moab Immediate Care and Xray
- Urgent Care Clinic/Center
- Moab, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 1623961205
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Nilan Marquardt, MD, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Moab, UT
- NPI 1295717759
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.