Medsource Medical, LLC
NPI 1679859169 · Durable Medical Equipment & Medical Supplies · Sandy, UT
Medsource Medical, LLC is a Durable Medical Equipment & Medical Supplies organization in Sandy, UT (NPI 1679859169).
Provider details
- NPI number
- 1679859169
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Robert Rose, Coo(877) 577-7767
- License
- 8119067-1714 (UT)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- Ingram Medical
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2011-10-27
Frequently asked questions
- What is Medsource Medical, LLC's NPI number?
- Medsource Medical, LLC's National Provider Identifier (NPI) is 1679859169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medsource Medical, LLC?
- Medsource Medical, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Medsource Medical, LLC located?
- Medsource Medical, LLC's practice location on file with NPPES is 9883 S 500 W, Sandy, UT 84070-2561.
- What is Medsource Medical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Medsource Medical, LLC is (877) 577-7767.
- Who is the authorized official for Medsource Medical, LLC?
- The authorized official listed on Medsource Medical, LLC's NPPES record is Robert Rose, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medsource Medical, LLC's NPI active?
- Yes — Medsource Medical, LLC's NPI (1679859169) is active in the NPPES registry as of the last update on 2011-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.