UTAH PROVIDER GROUP
NPI 1083461917
Clinic/Center - Primary Care in Saint George, UT

Q: What is Utah Provider Group's NPI number?

The NPI number for Utah Provider Group is 1083461917. It was assigned to this organization in the NPPES registry on April 30, 2024.

Q: What is Utah Provider Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 30, 2024

1506 S SILICON WAY STE 2B, SAINT GEORGE, UT 84770(888) 920-7526 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Utah Provider Group NPPES

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

UTAH PROVIDER GROUP (NPI 1083461917) is a healthcare organization registered as a primary care in Saint George, Utah and active in the NPI registry since April 2024. The organization lists Nathan Udy, Manager, as its authorized official.

NPPES Registry Identity

NPI1083461917

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameUTAH PROVIDER GROUP

Location Address1506 S SILICON WAY STE 2BSaint George, UT 84770-7153

Mailing Address1506 S Silicon Way Ste 2bSaint George, UT 84770-7153 · (888) 920-7526

Phone(888) 920-7526

Organization SubpartNo

Authorized OfficialNathan UdyManager · (435) 515-0088

Enumeration DateApril 30, 2024

Last NPPES UpdateMay 1, 2024

NPPES CertifiedMay 1, 2024

✔ NPI 1083461917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1506 S SILICON WAY STE 2B, Saint George, UT 84770

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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 46D2309366

Utah Provider Group (primestin Care) · St George, UT

Expired · Aug 13, 2026

CLIA Number46D2309366

Laboratory TypePhysician Office

Certificate Effective DateAugust 14, 2024

Certificate Expiration DateAugust 13, 2026

Laboratory DirectorJeffrey D. Lee

Laboratory Phone(435) 319-4139

Laboratory LocationUtah Provider Group (primestin Care)965 E 700 S, Suite 205, St George, UT 84790

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Utah Provider Group's NPI number?

The NPI number for Utah Provider Group is 1083461917. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Utah Provider Group located?

Utah Provider Group is located at 1506 S Silicon Way Ste 2B, Saint George, UT 84770. The listed phone number is (888) 920-7526.

What is Utah Provider Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Utah Provider Group was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.