Provider Demographics
NPI:1407145535
Name:UTL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:UTL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-259-3696
Mailing Address - Street 1:369 E 900 S
Mailing Address - Street 2:SUITE 279
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-4331
Mailing Address - Country:US
Mailing Address - Phone:801-259-3696
Mailing Address - Fax:801-618-1573
Practice Address - Street 1:369 E 900 S
Practice Address - Street 2:SUITE 279
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-4331
Practice Address - Country:US
Practice Address - Phone:801-259-3696
Practice Address - Fax:801-618-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT162213-1205OtherLICANCE