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
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.