Organization Active NPI

Mobile Infection Detection

  • Primary Care Clinic/Center
  • Fruit Heights, UT
National Provider Identifier
1730846189
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOBILE INFECTION DETECTION
Practice address
568 Cherry LN
Fruit Heights, UT 84037-2774
Phone
(801) 859-5558
NPI assigned
Nov 19, 2021
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Tiffany Ann Miller, NP-C
Title
Family Nurse Practitioner
Phone
(801) 859-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

568 Cherry LN
Fruit Heights, UT 84037-2774

Mailing address

568 Cherry LN
Fruit Heights, UT 84037-2774

Other names 1

  • Mobile Infection Detection Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1730846189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 CHERRY LN",
            "city": "FRUIT HEIGHTS",
            "state": "UT",
            "postal_code": "840372774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 CHERRY LN",
            "city": "FRUIT HEIGHTS",
            "state": "UT",
            "postal_code": "840372774",
            "telephone_number": "801-859-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE INFECTION DETECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "801-859-5558",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Infection Detection",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fruit Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.