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124 South Fairfield LLC — NPI 1578100186, Layton, UT | NPI Central

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NPI 1578100186

OrganizationActive

124 South Fairfield LLC

NPI 1578100186 · Clinic/Center · Layton, UT

Provider details

NPI number: 1578100186
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Eric Mansell, Manager

Practice location

124 S Fairfield Rd Ste B

Layton, UT 84041-7106

Phone: (801) 719-2316

Fax: (801) 336-4873

More UT providers

Mailing address

124 S Fairfield Rd Ste B

Layton, UT 84041-7106

Registry dates

Enumerated: 2019-12-02
Last updated: 2020-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.