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TOOELE CLINIC CORP
NPI 1073512364
Family Medicine in Tooele, UT

Active since July 19, 2005CLIA Certified · 9 labs
1887 AARON DR STE B, TOOELE, UT 84074(435) 775-9973(435) 775-9985 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, Jul 7, 2023, Nov 14, 2018 (3 updates tracked since 2018).

About Tooele Clinic Corp NPPES

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

TOOELE CLINIC CORP (NPI 1073512364) is a healthcare organization registered as a family medicine in Tooele, Utah and active in the NPI registry since July 2005. The organization holds 9 active CLIA laboratory certificates and lists Laura J Fey, Sr. Director Physician Rev Cycle, as its authorized official.

NPPES Registry Identity

NPI1073512364
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTOOELE CLINIC CORP
Location Address1887 AARON DR STE BTooele, UT 84074-8138
Mailing AddressPo Box 5009Brentwood, TN 37024-5009 · (615) 221-1400 · Fax (615) 371-4600
Phone(435) 775-9973
Fax(435) 775-9985
Organization SubpartNo
Authorized OfficialLaura J FeySr. Director Physician Rev Cycle · (615) 221-3641
Enumeration DateJuly 19, 2005
Last NPPES UpdateApril 29, 20253 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1073512364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
1887 AARON DR STE B, Tooele, UT 84074
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Other Identifiers 1

Medicaid1073512364UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 9

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 46D2144386

Tooele Clinic Corp · Tooele, UT
Active · expires Feb 14, 2028
CLIA Number46D2144386
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorIngrid Acosta
Laboratory Phone(435) 843-2634
Laboratory LocationTooele Clinic Corp777 N Main St, Tooele, UT 84074
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2249922

Tooele Clinic Corp · Tooele, UT
Active · expires Jan 23, 2028
CLIA Number46D2249922
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorLori Mckay
Laboratory Phone(435) 843-2800
Laboratory LocationTooele Clinic Corp196 E 2000 N, Suite 106, Tooele, UT 84074
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D1043648

Tooele Clinic Corp · Tooele, UT
Active · expires Nov 24, 2027
CLIA Number46D1043648
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorIngrid Acosta
Laboratory Phone(435) 843-3678
Laboratory LocationTooele Clinic Corp196 East 2000 North Ste 101, Tooele, UT 84074
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2288158

Tooele Clinic Corp · Tooele, UT
Active · expires Aug 21, 2027
CLIA Number46D2288158
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorIngrid Acosta
Laboratory Phone(435) 843-3859
Laboratory LocationTooele Clinic Corp196 E 2000 N, Suite 104, Tooele, UT 84074
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2223214

Tooele Clinic - Family Medicine · Tooele, UT
Active · expires May 4, 2027
CLIA Number46D2223214
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorJesse Spencer
Laboratory Phone(801) 710-4836
Laboratory LocationTooele Clinic - Family Medicine2356 N 400 E, Building B Ste #201, Tooele, UT 84074
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2317878

Tooele Clinic Corp · Tooele, UT
Active · expires Feb 2, 2027
CLIA Number46D2317878
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorIngrid Acosta
Laboratory Phone(435) 843-2725
Laboratory LocationTooele Clinic Corp196 E 2000 N, Suite 100, Tooele, UT 84074
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

RUSSELL DAVIS
Nurse Practitioner (Family)
1887 AARON DR STE B
TOOELE, UT 84074
Tooele County (435) 775-9969

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 Tooele Clinic Corp's NPI number?

The NPI number for Tooele Clinic Corp is 1073512364. It was assigned to this organization in the NPPES registry on July 19, 2005.

Where is Tooele Clinic Corp located?

Tooele Clinic Corp is located at 1887 Aaron Dr Ste B, Tooele, UT 84074. The listed phone number is (435) 775-9973.

What is Tooele Clinic Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Tooele Clinic Corp hold CLIA laboratory certificates?

Yes. 9 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.

What insurance does Tooele Clinic Corp accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Tooele Clinic Corp 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 Tooele Clinic Corp was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.