OrganizationActive
No Roll Up Timpanogos LLC
NPI 1831153840 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Provo, UT
Provider details
- NPI number
- 1831153840
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Thomas Usilton, Group Vice President
Practice location
1055 N 500 W
Ste 222
Provo, UT 84604-3329
Phone: (801) 356-8907
Fax: (801) 377-6832
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.