Provider Demographics
NPI:1225848682
Name:UTAH SLEEP CLINIC
Entity type:Organization
Organization Name:UTAH SLEEP CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACFARLANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-319-9944
Mailing Address - Street 1:4161 N CRESTVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-4716
Mailing Address - Country:US
Mailing Address - Phone:801-319-9944
Mailing Address - Fax:
Practice Address - Street 1:7138 S HIGHLAND DR STE 215
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-3784
Practice Address - Country:US
Practice Address - Phone:801-406-9505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment