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REVERE HEALTH
NPI 1023251204
Clinic/Center - Multi-Specialty in Lehi, UT

Active since April 17, 2009CLIA Certified · 10 labs
3000 N TRIUMPH BLVD STE 100, LEHI, UT 84043(801) 429-8000 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2020, Mar 7, 2018, Apr 19, 2017 (3 updates tracked since 2017).

About Revere Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVERE HEALTH (NPI 1023251204) is a healthcare organization registered as a multi-specialty in Lehi, Utah and active in the NPI registry since April 2009. The organization holds 10 active CLIA laboratory certificates and lists Jed Harston, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1023251204
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTRAL UTAH CLINIC, P.C.
Location Address3000 N TRIUMPH BLVD STE 100Lehi, UT 84043-4999
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 429-8000
Organization SubpartNo
Authorized OfficialJed HarstonDirector Of Managed Care · (801) 812-5012
Enumeration DateApril 17, 2009
Last NPPES UpdateJanuary 13, 20203 updates tracked since enumeration
✔ NPI 1023251204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3000 N TRIUMPH BLVD STE 100, Lehi, UT 84043
Open in Google Maps ↗

Other Names 1

Doing Business AsRevere Health

CLIA Laboratory Certificates CMS CLIA 11

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2258543

Revere Health Imaging · Provo, UT
Active · expires Apr 21, 2028
CLIA Number46D2258543
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorJason Eves
Laboratory Phone(801) 812-4624
Laboratory LocationRevere Health Imaging1055 N 500 W, Suite 112, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 46D2277901

Revere Health Provo Dermatology · Provo, UT
Active · expires Apr 3, 2028
CLIA Number46D2277901
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorReed Garza
Laboratory Phone(801) 374-8999
Laboratory LocationRevere Health Provo Dermatology1055 N 500 W Suite 111, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 46D2167500

Revere Health Provo Urgent Care · Provo, UT
Active · expires Feb 23, 2028
CLIA Number46D2167500
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorMs. Mckinzie O. Young
Laboratory Phone(801) 812-5033
Laboratory LocationRevere Health Provo Urgent Care1055 N 500 W Building A, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 46D2335687

Revere Health · Provo, UT
Active · expires Dec 15, 2027
CLIA Number46D2335687
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorRussell W. Rhoades
Laboratory Phone(801) 354-8276
Laboratory LocationRevere Health1055 N 500 W, Suite #212, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2335688

Revere Health · Provo, UT
Active · expires Dec 15, 2027
CLIA Number46D2335688
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorSoubhi Nizam
Laboratory Phone(801) 354-8276
Laboratory LocationRevere Health1055 N 500 W, Suite #205, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D2332293

Revere Health Obgyn-Provo · Provo, UT
Active · expires Oct 15, 2027
CLIA Number46D2332293
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDavid Young
Laboratory Phone(801) 756-5288
Laboratory LocationRevere Health Obgyn-Provo1055 N 500 W Ste 205, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHOLIC HEALTH INITIATIVES COLORADO
Orthopaedic Surgery
3000 N TRIUMPH BLVD STE 100
LEHI, UT 84043
Utah County (385) 345-3555
CATHOLIC HEALTH INITIATIVES COLORADO
Internal Medicine (Pulmonary Disease)
3000 N TRIUMPH BLVD STE 100
LEHI, UT 84043
Utah County (385) 345-3555
CATHOLIC HEALTH INITIATIVES COLORADO
Podiatrist (Foot & Ankle Surgery)
3000 N TRIUMPH BLVD STE 100
LEHI, UT 84043
Utah County (385) 334-3668
CATHOLIC HEALTH INITIATIVES COLORADO
Psychiatry & Neurology (Neurology)
3000 N TRIUMPH BLVD STE 100
LEHI, UT 84043
Utah County (385) 345-3555
CATHOLIC HEALTH INITIATIVES COLORADO
Internal Medicine (Cardiovascular Disease)
3000 N TRIUMPH BLVD STE 100
LEHI, UT 84043
Utah County (385) 345-3555
CATHOLIC HEALTH INITIATIVES COLORADO
Surgery
3000 N TRIUMPH BLVD STE 100
LEHI, UT 84043
Utah County (385) 345-3555
MORGAN ANN BATEMAN FNP
Nurse Practitioner (Family)
3000 N TRIUMPH BLVD STE 100
LEHI, UT 84043
Utah County (385) 203-1215
DAVID KIMBALL D.O., D.C.
Family Medicine
3000 N TRIUMPH BLVD STE 100
LEHI, UT 84043
Utah County (801) 203-1215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Utah Clinic, P.C.'s NPI number?

The NPI number for Central Utah Clinic, P.C. is 1023251204. It was assigned to this organization in the NPPES registry on April 17, 2009. The provider is doing business as Revere Health.

Where is Central Utah Clinic, P.C. located?

Central Utah Clinic, P.C. is located at 3000 N Triumph Blvd Ste 100, Lehi, UT 84043. The listed phone number is (801) 429-8000.

What is Central Utah Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Central Utah Clinic, P.C. hold CLIA laboratory certificates?

Yes. 10 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Central Utah Clinic, P.C. was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.