J Q Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

E42635 Issued in UT

Legal business name

J Q MEDICAL SUPPLY, LLC

Practice address

6910 S Highland Dr Ste 4
Salt Lake City, UT 84121-3087

Phone

(800) 231-6820

Fax

(801) 880-3634

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Ryan Schorr

Title

Ceo

Phone

(801) 942-8582

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1619960663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E FORT UNION BLVD STE 310",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471883",
            "telephone_number": "801-942-8582",
            "fax_number": "801-880-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 S HIGHLAND DR STE 4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213087",
            "telephone_number": "800-231-6820",
            "fax_number": "801-880-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J Q MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "SCHORR",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-942-8582"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "E42635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012912",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diego Ize-Ludlow, MD
• Izzy Inc.
• J Barry Robb MD Professional Corporation
• J C Enterprises Inc
• J Preston Hughes a Professional Corporation
• J. Dayne Petersen M.D., PC
• J.D. Case Management, Inc.
• Lucila D J'Aime
• J&D Association LLC
• Nour Jaatoul, CSW

• Durable Medical Equipment & Medical Supplies in Salt Lake City, UT
• Providers in Salt Lake City, 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 Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.