| Organization Name: | SOUTH VALLEY INPULSE CENTER |
| NPI Number: | 1114053907 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANA HARRISON (CEO) |
| Mailing Address: | 12244 Business Park Dr Ste 160 Draper |
| State: | UT US |
| Postal Code: | 840206533 |
| Phone Number: | 8015714043 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QI0500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |