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METRODORA CLINIC PLLC NPI 1124762281


NPI Information

NPI: 1124762281
Provider Name: METRODORA CLINIC, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3535 S MARKET ST STE 800
WEST VALLEY CITY, UT
ZIP 84119
Phone: (801) 907-1796
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METRODORA CLINIC, PLLC is a clinic center in West Valley City, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). METRODORA CLINIC, PLLC NPI is 1124762281. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3535 S MARKET ST STE 800
WEST VALLEY CITY, UT
ZIP 84119-617
Phone: (801) 907-1796

The provider's authorized official is Laura A. Pace .
The authorized official title is Ceo and has the following contact phone number (385) 430-1431.

The enumeration date for this NPI number is 4/25/2022 and was last updated on 1/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2133N00000XNutritionistNo
3163W00000XRegistered NurseNo
4170100000XMedical Genetics, Ph.D. Medical GeneticsNo
5183500000XPharmacistNo
6207K00000XAllergy & ImmunologyNo
7207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
8207RG0100XInternal MedicineGastroenterologyNo
9207RR0500XInternal MedicineRheumatologyNo
10207ZC0006XPathologyClinical PathologyNo
112084N0400XPsychiatry & NeurologyNeurologyNo
122084P0800XPsychiatry & NeurologyPsychiatryNo
132084P2900XPsychiatry & NeurologyPain MedicineNo
14261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.