Provider Demographics
NPI:1770334914
Name:BREAST PUMPS UNLIMITED LLC
Entity type:Organization
Organization Name:BREAST PUMPS UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONG DJIU
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:KHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-787-6546
Mailing Address - Street 1:865 N 1430 W
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-6402
Mailing Address - Country:US
Mailing Address - Phone:435-267-0141
Mailing Address - Fax:801-796-2688
Practice Address - Street 1:865 N 1430 W
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-6402
Practice Address - Country:US
Practice Address - Phone:435-267-0141
Practice Address - Fax:801-796-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT14211501-1714OtherDURABLE MEDICAL EQUIPMENT PROVIDERS