| Vyta LLC | |
|
650 S 500 W Ste 226 Salt Lake City UT 84101-2382 | |
| (385) 955-0055 | |
| Not Available |
| Full Name | Vyta LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 650 S 500 W Ste 226, Salt Lake City, Utah |
| Authorized Official Name and Position | Tiffany Polmateer (COO) |
| Authorized Official Contact | 3852010999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vyta LLC 650 S 500 W Ste 226 Salt Lake City UT 84101-2382 Ph: (385) 955-0055 | Vyta LLC 650 S 500 W Ste 226 Salt Lake City UT 84101-2382 Ph: (385) 955-0055 |
| NPI Number | 1619832987 |
|---|---|
| Provider Enumeration Date | 12/18/2025 |
| Last Update Date | 12/18/2025 |
| Certification Date | 12/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619832987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | () | Secondary |
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