MOUNTAIN PEAKS FAMILY PRACTICE LC
NPI 1023263969
Clinic/Center - Health Service in Orem, UT

Active since November 19, 2008CLIA 46D0928175 · Waiver

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2026, Mar 31, 2026, Dec 22, 2015 (3 updates tracked since 2015).

About Mountain Peaks Family Practice Lc NPPES

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

MOUNTAIN PEAKS FAMILY PRACTICE LC (NPI 1023263969) is a healthcare organization registered as a health service in Orem, Utah and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Melissa Skala Bassett, Manager, as its authorized official.

NPPES Registry Identity

NPI1023263969
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMOUNTAIN PEAKS FAMILY PRACTICE LC
Location Address501 E 770 NOrem, UT 84097-4102
Mailing Address501 E 770 NOrem, UT 84097-4102 · (801) 724-9840 · Fax (801) 235-1509
Organization SubpartNo
Authorized OfficialMelissa Skala BassettManager · (801) 471-5163
Enumeration DateNovember 19, 2008
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1023263969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
501 E 770 N, Orem, UT 84097

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 46D0928175

Mountain Peaks Family Practice · Orem, UT
Active · expires Aug 14, 2027
CLIA Number46D0928175
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorRobert G. Durrans
Laboratory Phone(801) 724-9840
Laboratory LocationMountain Peaks Family Practice501 East 770 North, Orem, UT 84097
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
501 E 770 N
OREM, UT 84097
Physician Assistant
501 E 770 N
OREM, UT 84097
Physician Assistant
501 E 770 N
OREM, UT 84097
Physician Assistant
501 E 770 N
OREM, UT 84097
Family Medicine
501 E 770 N
OREM, UT 84097
Physician Assistant
501 E 770 N
OREM, UT 84097

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 Mountain Peaks Family Practice Lc's NPI number?

The NPI number for Mountain Peaks Family Practice Lc is 1023263969. It was assigned to this organization in the NPPES registry on November 19, 2008.

Where is Mountain Peaks Family Practice Lc located?

Mountain Peaks Family Practice Lc is located at 501 E 770 N, Orem, UT 84097. The listed phone number is (801) 724-9840.

What is Mountain Peaks Family Practice Lc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Mountain Peaks Family Practice Lc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0928175) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain Peaks Family Practice Lc accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Mountain Peaks Family Practice Lc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Peaks Family Practice Lc was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.