OrganizationActive
Diagnostic Evaluation Services, LLC
NPI 1881067569 · Health Service Clinic/Center · Provo, UT
Provider details
- NPI number
- 1881067569
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Qutub, Member(303) 246-9879
- License
- 9357124-0151 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
385 N 500 W
Provo, UT 84601-2681
Phone: (303) 246-9879
Street-level locationGet directions
Mailing address
Po Box 271388
Littleton, CO 80127-0023
Registry dates
- Enumerated
- 2015-11-04
- Last updated
- 2015-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.