Organization Active NPI

Vyta LLC

  • Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1619832987
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VYTA LLC
Practice address
650 S 500 W Ste 226
Salt Lake City, UT 84101-2382
Phone
(385) 955-0055
NPI assigned
Dec 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Tiffany Polmateer
Title
Coo
Phone
(385) 201-0999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

650 S 500 W Ste 226
Salt Lake City, UT 84101-2382

Mailing address

650 S 500 W Ste 226
Salt Lake City, UT 84101-2382
Phone (385) 955-0055

National Provider Directory

National Provider Directory

Locations

650 S 500 W
Ste 226
Salt Lake City, UT 84101
Phone (385) 955-0055

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1619832987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S 500 W STE 226",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012382",
            "telephone_number": "385-955-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S 500 W STE 226",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012382",
            "telephone_number": "385-955-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "POLMATEER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "385-201-0999"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.