EAR NOSE & THROAT SURGERY CENTER OF UTAH LLC NPI 1790906204

NPI Information

  • NPI: 1790906204
  • Provider Name: EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: INTERMOUNTAIN SURGERY CENTER - ALTA VIEW
  • CLIA Number: 46D2308710
  • Address: 9450 S 1300 E STE 100
    SANDY, UT
    ZIP 84094
  • Phone: (801) 924-2878

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NPI Details

EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC is an ambulatory surgical clinic center in Sandy, UT. EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC NPI is 1790906204. The provider is registered as an organization entity type.
The provider Is Doing Business As Intermountain Surgery Center - Alta View.

The provider's business location address is:

9450 S 1300 E STE 100
SANDY, UT
ZIP 84094-555
Phone: (801) 924-2878
Fax: (801) 924-2888

The provider's authorized official is Stephen Larson .
The authorized official title is Owner and has the following contact phone number (801) 694-2802.

The CLIA number assigned to this NPI record is 46D2308710 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Reshaping of nasal cartilage (HCPCS:30520)

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/9/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical20042178UTAHNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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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