Provider Demographics
NPI:1518250109
Name:ONSITE CARE INC
Entity Type:Organization
Organization Name:ONSITE CARE INC
Other - Org Name:ONSITE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LATSIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-441-1002
Mailing Address - Street 1:406 W SOUTH JORDAN PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-3956
Mailing Address - Country:US
Mailing Address - Phone:801-441-1004
Mailing Address - Fax:
Practice Address - Street 1:406 W JORDAN PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-8409
Practice Address - Country:US
Practice Address - Phone:801-441-1004
Practice Address - Fax:801-441-1005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONSITE CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-16
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT52570631205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty