Source One Medical Inc – Durable Medical Equipment & Medical Supplies, NPI 1043289176

Source One Medical Inc is a healthcare provider. based in Salt lake city, Utah. specializing in Durable Medical Equipment & Medical Supplies. The NPI Number for Source One Medical Inc is 1043289176

Main info

Organization
Inactive
Name
Source One Medical Inc
NPI
1043289176
Phone
(888) 447-9056
Address
411 IRONWOOD DR
Deactivation Date
16 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness80
Years active:0State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Source One Medical Inc

  • 411 IRONWOOD DR

    SALT LAKE CITY, UT 841152948

    Phone: (888) 447-9056

    Fax: (949) 387-6371

    Type: Location

  • 16, Technology Drive, Irvine Spectrum, Irvine, Orange County, California, 92618, United States

    SUITE 165

    IRVINE, CA 926182328

    Phone: (888) 447-9056

    Fax: (949) 387-6371

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84115)

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Reviews

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Frequently asked questions

Can I cross-check Source One Medical Inc using NPI 1043289176?
NPI 1043289176 belongs to Source One Medical Inc; compare other details if you need extra assurance.
Is inactive the same as retired for Source One Medical Inc?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Source One Medical Inc?
At a glance, Source One Medical Inc is tied to Durable Medical Equipment & Medical Supplies. Clinical services aligned with this taxonomy classification.
Is Source One Medical Inc located near Salt Lake City?
Source One Medical Inc currently maps to Salt Lake City, Utah in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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