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UTAH LUNG CENTER, LLC
NPI 1093923591
Internal Medicine in West Jordan, UT

Active since May 18, 2007CLIA 46D1050935 · Waiver
3584 W 9000 S, WEST JORDAN, UT 84088(801) 562-5864(801) 568-0202 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Utah Lung Center, Llc NPPES

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

UTAH LUNG CENTER, LLC (NPI 1093923591) is a healthcare organization registered as an internal medicine in West Jordan, Utah and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Imad S Farrukh, President, as its authorized official.

NPPES Registry Identity

NPI1093923591
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameUTAH LUNG CENTER, LLC
Location Address3584 W 9000 SWest Jordan, UT 84088
Mailing AddressPo Box 150173Ogden, UT 84415 · (801) 479-0601 · Fax (801) 479-4768
Phone(801) 562-5864
Fax(801) 568-0202
Organization SubpartNo
Authorized OfficialImad S FarrukhPresident · (801) 562-5864
Enumeration DateMay 18, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1093923591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 180183-1205
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 180183-1205 (UT)
3584 W 9000 S, West Jordan, UT 84088
Open in Google Maps ↗

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 MULTIPLE 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 Waiver 46D1050935

Utah Lung Center LLC · West Jordan, UT
Active · expires Feb 14, 2028
CLIA Number46D1050935
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorImad S. Farrukh
Laboratory Phone(801) 562-5864
Laboratory LocationUtah Lung Center LLC3584 West 9000 South Ste 201, West Jordan, UT 84088
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 20

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

DR. HARRISON M LAZARUS MD
Surgery (Vascular Surgery)
3584 W 9000 S, STE 400
WEST JORDAN, UT 84088
Salt Lake County (801) 263-0788
SPENCER N COLBY M.D.
Obstetrics & Gynecology
3584 W 9000 S, STE 206
WEST JORDAN, UT 84088
Salt Lake County (801) 561-2227
SCOTT F EPSTEIN D.O.
Obstetrics & Gynecology
3584 W 9000 S, STE 206
WEST JORDAN, UT 84088
Salt Lake County (801) 561-2227
PAMELA JEANNE CRONIN MS, CCC-A
Audiologist
3584 W 9000 S, SUITE 311
WEST JORDAN, UT 84088
Salt Lake County (801) 566-8304
DENISE JEAN BOUDREAUX-NIPPERT MD
Obstetrics & Gynecology
3584 W 9000 S, SUITE 206
WEST JORDAN, UT 84088
Salt Lake County (801) 561-2227
MOUNTAIN WEST CARDIOVASCULAR ASSOCIATES, PC
Specialist
3584 W 9000 S, SUITE 209
WEST JORDAN, UT 84088
Salt Lake County (801) 676-3776
TANIA M NICLAS PT
Physical Therapist
3584 W 9000 S, JORDAN VALLEY MEDICAL CENTER PHYSICAL THERAPY SUITE 102
WEST JORDAN, UT 84088
Salt Lake County (801) 601-2309
BRIAN R PETERSON MD PC
Specialist
3584 W 9000 S, SUITE 311
WEST JORDAN, UT 84088
Salt Lake County (801) 566-8304

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 Lung Center, LLC's NPI number?

The NPI number for Utah Lung Center, LLC is 1093923591. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Utah Lung Center, LLC located?

Utah Lung Center, LLC is located at 3584 W 9000 S, West Jordan, UT 84088. The listed phone number is (801) 562-5864.

What is Utah Lung Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Utah Lung Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1050935) is associated with this NPI, valid through February 14, 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 Utah Lung Center, LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.