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ST MARKS AMBULATORY SURGERY ASSOCIATES LP NPI 1174587984


NPI Information

NPI: 1174587984
Provider Name: ST MARKS AMBULATORY SURGERY ASSOCIATES LP

Doing Business As: MT. OLYMPUS SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 46D0938078

Address:
1250 E 3900 S
SUITE 100
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 262-0358
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ST MARKS AMBULATORY SURGERY ASSOCIATES LP is an ambulatory surgical clinic center in Salt Lake City, UT. ST MARKS AMBULATORY SURGERY ASSOCIATES LP NPI is 1174587984. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt. Olympus Surgery Center.

The provider's business location address is:

1250 E 3900 S
SUITE 100
SALT LAKE CITY, UT
ZIP 84124-348
Phone: (801) 262-0358
Fax: (801) 262-0901

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The CLIA number assigned to this NPI record is 46D0938078 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/17/2006 and was last updated on 4/17/2024.


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
1261QA1903XClinic/CenterAmbulatory Surgical2005ASF519UTAHYes

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

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