OrganizationActive
Carols Personal Mastectomy Boutique
NPI 1356522304 · Durable Medical Equipment & Medical Supplies · Salt Lake City, UT
Provider details
- NPI number
- 1356522304
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Gary Stenquist, Owner(801) 483-1262
- License
- 1744P3200X (UT)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3165 S Main St
Salt Lake City, UT 84115-3748
Phone: (801) 483-1262
Fax: (801) 483-1287
Street-level locationGet directions
Mailing address
3165 S Main St
Salt Lake City, UT 84115-3748
Registry dates
- Enumerated
- 2007-11-19
- Last updated
- 2011-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.