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SALT LAKE ORTHOPAEDIC SPECIALIST LLC NPI 1811913429


NPI Information

NPI: 1811913429
Provider Name: SALT LAKE ORTHOPAEDIC SPECIALIST, LLC

Doing Business As: SALT LAKE ORTHOPAEDIC CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 46D1025850

Address:
1521 E 3900 S STE 200
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 262-8486
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SALT LAKE ORTHOPAEDIC SPECIALIST, LLC is a specialist in Salt Lake City, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SALT LAKE ORTHOPAEDIC SPECIALIST, LLC NPI is 1811913429. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Salt Lake Orthopaedic Clinic.

The provider's business location address is:

1521 E 3900 S STE 200
SALT LAKE CITY, UT
ZIP 84124-501
Phone: (801) 262-8486
Fax: (801) 284-8699

The provider's authorized official is Brent A Felix .
The authorized official title is President and has the following contact phone number (801) 262-8486.

The CLIA number assigned to this NPI record is 46D1025850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 2/8/2024.


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
1174400000XSpecialist5211UTAHYes

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.