Provider Demographics
NPI:1467918839
Name:ADVANTAGE URINAL SYSTEMS LLC
Entity Type:Organization
Organization Name:ADVANTAGE URINAL SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-296-6848
Mailing Address - Street 1:782 E 1050 N
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-2618
Mailing Address - Country:US
Mailing Address - Phone:801-296-6848
Mailing Address - Fax:
Practice Address - Street 1:782 E 1050 N
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-2618
Practice Address - Country:US
Practice Address - Phone:801-296-6848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies