SKYLINE PAIN CLINIC
NPI 1053308452
Pain Medicine - Pain Medicine in Ogden, UT

Active since September 30, 2005CLIA 46D1103407 · Accreditation
5315 ADAMS AVE PKWY, SUITE A, OGDEN, UT 84405(801) 476-4448(801) 476-4449 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skyline Pain Clinic NPPES

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

SKYLINE PAIN CLINIC (NPI 1053308452) is a healthcare organization registered as a pain medicine in Ogden, Utah and active in the NPI registry since September 2005. The organization holds an CLIA Accreditation certificate valid through January 17, 2028 and lists Jahan Imani, Owner, as its authorized official.

NPPES Registry Identity

NPI1053308452
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameSKYLINE PAIN CLINIC
Location Address5315 ADAMS AVE PKWY, SUITE AOgden, UT 84405-4766
Mailing AddressPo Box 9519Ogden, UT 84409-0519 · (801) 476-4448 · Fax (801) 476-4449
Fax(801) 476-4449
Organization SubpartNo
Authorized OfficialJahan ImaniOwner · (801) 476-4448
Enumeration DateSeptember 30, 2005
Last NPPES UpdateDecember 23, 2009
NPI 1053308452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License Licensed in UT · 260615
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
5315 ADAMS AVE PKWY, Ogden, UT 84405

Other Identifiers 2

Medicare PIN005787101UT
Medicaid=========001UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Accreditation 46D1103407

Skyline Pain Clinic · Ogden, UT
Active · expires Jan 17, 2028
CLIA Number46D1103407
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorJanette Carpenter
Laboratory Phone(801) 476-4448
Laboratory LocationSkyline Pain Clinic5315 South Adams Avenue Ste A, Ogden, UT 84405
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
5315 ADAMS AVE PKWY, STE A
WASHINGTON TERRACE, UT 84405
Specialist
5315 ADAMS AVE PKWY, SUITE A
WASHINGTON TERRACE, UT 84405
Physician Assistant
5315 ADAMS AVE PKWY, SUITE A
WASHINGTON TERRACE, UT 84405

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 Skyline Pain Clinic's NPI number?

The NPI number for Skyline Pain Clinic is 1053308452. It was assigned to this organization in the NPPES registry on September 30, 2005.

Where is Skyline Pain Clinic located?

Skyline Pain Clinic is located at 5315 Adams Ave Pkwy Suite A, Ogden, UT 84405. The listed phone number is (801) 476-4448.

What is Skyline Pain Clinic's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Does Skyline Pain Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 46D1103407) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skyline Pain Clinic was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.