Provider Demographics
NPI:1679077184
Name:CLEARPING MEDICAL
Entity Type:Organization
Organization Name:CLEARPING MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-871-9321
Mailing Address - Street 1:400 N GENEVA RD STE B
Mailing Address - Street 2:
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-1214
Mailing Address - Country:US
Mailing Address - Phone:801-871-9321
Mailing Address - Fax:844-855-5134
Practice Address - Street 1:400 N GENEVA RD STE B
Practice Address - Street 2:
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-1214
Practice Address - Country:US
Practice Address - Phone:801-871-9321
Practice Address - Fax:844-855-5134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10418063-1714332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT10418063-1714OtherUTAH STATE LICENSE
UT1104340785OtherINDIVIDUAL NPI