OrganizationActive
Sourceone Medical Inc
NPI 1982679056 · Durable Medical Equipment & Medical Supplies · Midvale, UT
Provider details
- NPI number
- 1982679056
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Debra Janssen, Adm Office Manager(888) 447-9056
- License
- 602330-1714 (UT)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
167 W 7065 S
Midvale, UT 84047-3717
Phone: (801) 307-0758
Fax: (801) 307-0765
Street-level locationGet directions
Mailing address
1 Peters Canyon Rd
Irvine, CA 92606-1400
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.