OrganizationActive
Western States Medical LLC
NPI 1124250592 · Electroneurodiagnostic Specialist/Technologist · Washington Terrace, UT
Provider details
- NPI number
- 1124250592
- Entity type
- Organization
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Cary Fairbourn, President(801) 540-4564
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
448 E 5350 S Ste B
Washington Terrace, UT 84405-5415
Phone: (801) 540-4564
Street-level locationGet directions
Mailing address
448 E 5350 S Ste B
Washington Terrace, UT 84405-5415
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.