INNOVATION SURGICAL SPECIALTIES LLC NPI 1588326870

NPI Information

  • NPI: 1588326870
  • Provider Name: INNOVATION SURGICAL SPECIALTIES, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 46D2242890
  • Address: 836 S ANGEL ST
    LAYTON, UT
    ZIP 84041
  • Phone: (801) 540-7800

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NPI Details

INNOVATION SURGICAL SPECIALTIES, LLC is an ambulatory surgical clinic center in Layton, UT. INNOVATION SURGICAL SPECIALTIES, LLC NPI is 1588326870. The provider is registered as an organization entity type.

The provider's business location address is:

836 S ANGEL ST
LAYTON, UT
ZIP 84041-687
Phone: (801) 540-7800

The provider's authorized official is Brandon Aven .
The authorized official title is Chief Strategy Officer and has the following contact phone number (503) 741-7755.

The CLIA number assigned to this NPI record is 46D2242890 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2021 and was last updated on 10/13/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112194550-0160OTHERUTAHSTATE OF UTAH

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: 3/30/2025

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