OrganizationActive
Medsource Inc.
NPI 1164417366 · Durable Medical Equipment & Medical Supplies · Sandy, UT
Provider details
- NPI number
- 1164417366
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- David Charles, President(801) 771-3939
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
10520 S 700 E Ste 210
Sandy, UT 84070-0943
Phone: (801) 771-3939
Fax: (888) 828-8290
Street-level locationGet directions
Mailing address
10520 S 700 E Ste 210
Sandy, UT 84070-0943
Additional practice locations (1)
- 10520 S 700 E Ste 210Sandy, UT 84070-0943Phone: (801) 771-3939Fax: (888) 506-2344
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.