OrganizationActive
Mtd Medical Services, LLC
NPI 1861714768 · Anatomic Pathology & Clinical Pathology Physician · Wellsville, UT
Provider details
- NPI number
- 1861714768
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Koehler, Manager(435) 716-5489
- License
- 180791-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
290 N Red Slide Dr
Wellsville, UT 84339-9757
Phone: (435) 716-5489
Fax: (435) 716-5442
Street-level locationGet directions
Mailing address
290 N Red Slide Dr
Wellsville, UT 84339-9757
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2011-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.