Provider Demographics
NPI:1689822108
Name:MED WASTE DISPOSAL, LLC
Entity Type:Organization
Organization Name:MED WASTE DISPOSAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:801-567-3747
Mailing Address - Street 1:7107 S 400 W STE 2W
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-1087
Mailing Address - Country:US
Mailing Address - Phone:801-567-3747
Mailing Address - Fax:866-253-3697
Practice Address - Street 1:7107 S 400 W STE 2W
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-1087
Practice Address - Country:US
Practice Address - Phone:801-567-3747
Practice Address - Fax:866-253-3697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies