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NPI 1255858734ActiveOrganization· Family Medicine· Salt Lake City, UT
Family Medicine in Salt Lake City, Utah, registered in NPPES in August 2017, part of Futura Medical Clinic. The authorized official on file is Darce A. Latsis, Operations Manager.
Overview
| NPI | 1255858734 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Futura Medical Clinic |
| NPI issued | Aug 25, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jan 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 70786441205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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