NPIMap

Organization Active NPI

Lite Supply

  • Durable Medical Equipment & Medical Supplies
  • Spanish Fork, UT
National Provider Identifier
1609410174
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LITE SUPPLY
Practice address
2087 E 30 N
Spanish Fork, UT 84660-5893
Phone
(347) 849-4835
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
A Mehtab
Title
Ceo
Phone
(347) 849-4835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2087 E 30 N
Spanish Fork, UT 84660-5893

Mailing address

2087 E 30 N
Spanish Fork, UT 84660-5893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1609410174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 E 30 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 E 30 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605893",
            "telephone_number": "347-849-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITE SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "MEHTAB",
        "authorized_official_first_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-849-4835"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.