Provider Demographics
NPI:1578316840
Name:APX MOBILE MED LLC
Entity Type:Organization
Organization Name:APX MOBILE MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-970-4230
Mailing Address - Street 1:2100 W PLEASANT GROVE BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-6000
Mailing Address - Country:US
Mailing Address - Phone:801-970-4230
Mailing Address - Fax:
Practice Address - Street 1:2100 W PLEASANT GROVE BLVD STE 450
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-6000
Practice Address - Country:US
Practice Address - Phone:801-970-4230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty