Provider Demographics
NPI:1851302152
Name:ADVANCED RESEARCH SYSTEMS INC
Entity Type:Organization
Organization Name:ADVANCED RESEARCH SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-560-8484
Mailing Address - Street 1:8545 S REDWOOD RD STE A
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-5576
Mailing Address - Country:US
Mailing Address - Phone:800-797-5337
Mailing Address - Fax:866-255-6422
Practice Address - Street 1:8545 S REDWOOD RD STE A
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-5576
Practice Address - Country:US
Practice Address - Phone:800-797-5337
Practice Address - Fax:866-255-6422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT47169-1204261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT870467919006Medicaid
UT870467919006Medicaid