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: July 19, 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.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023263969, enumerated as an "organization" on November 19, 2008.

The provider is located at 501 E 770 N OREM, UT 84097 and the phone number is (801) 724-9840.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Molina Healthcare and University of Utah Health. Please consult your insurance carrier or call the provider to verify.