Provider Demographics
NPI:1508603325
Name:HILUX LLC
Entity type:Organization
Organization Name:HILUX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:YEATES
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:801-671-3229
Mailing Address - Street 1:202 S MAIN ST STE 10
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-2529
Mailing Address - Country:US
Mailing Address - Phone:801-671-3229
Mailing Address - Fax:
Practice Address - Street 1:202 S MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-2529
Practice Address - Country:US
Practice Address - Phone:801-671-3229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health