Provider Demographics
NPI:1861498339
Name:SORENSON MEDICAL, INC.
Entity Type:Organization
Organization Name:SORENSON MEDICAL, INC.
Other - Org Name:INFUSION THERAPY BILLING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/COO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ORSINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-352-1888
Mailing Address - Street 1:1375 W 8040 S
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-8320
Mailing Address - Country:US
Mailing Address - Phone:801-352-1888
Mailing Address - Fax:801-352-1818
Practice Address - Street 1:1375 W 8040 S
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-8320
Practice Address - Country:US
Practice Address - Phone:801-352-1888
Practice Address - Fax:801-352-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14878332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies