Provider Demographics
NPI:1619847613
Name:UT MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:UT MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCOIS
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:561-779-9039
Mailing Address - Street 1:3108 AVENUE APT A
Mailing Address - Street 2:APT A
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947
Mailing Address - Country:US
Mailing Address - Phone:561-779-9039
Mailing Address - Fax:
Practice Address - Street 1:4455 S 700 E STE 200
Practice Address - Street 2:
Practice Address - City:MILLCREEK
Practice Address - State:UT
Practice Address - Zip Code:84107-3153
Practice Address - Country:US
Practice Address - Phone:561-779-9039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory