TANNER CLINIC
NPI 1104356013
Allergy & Immunology - Allergy in Murray, UT
About Tanner Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANNER CLINIC (NPI 1104356013) is a healthcare organization registered as an allergy in Murray, Utah and active in the NPI registry since June 2017. The organization holds 10 active CLIA laboratory certificates and lists Kevin Spainhower, Business Services Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tanner Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
270Medicare enrollment records show 270 clinicians reassign Medicare billing to Tanner Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 39
Nearest to this location (20)
See all 270West Valley City, UT 84119
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 10
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 46D2182069
Tanner Clinic - Murray · Murray, UTCertificate of Compliance 46D2227765
Tanner Clinic - Farmington · Farmington, UTCertificate of Compliance 46D2121334
Tanner Clinic - East · Layton, UTCertificate of Compliance 46D2159618
Tanner Clinic - Westside · Clinton, UTCertificate of Compliance 46D2298289
Tanner Clinic - Parkway · Layton, UTCertificate of Compliance 46D2073060
Tanner Clinic - Roy · Roy, UTFrequently 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 Tanner Memorial Clinic's NPI number?
The NPI number for Tanner Memorial Clinic is 1104356013. It was assigned to this organization in the NPPES registry on June 13, 2017. The provider is doing business as Tanner Clinic.
Where is Tanner Memorial Clinic located?
Tanner Memorial Clinic is located at 5296 S Commerce Dr, Murray, UT 84107. The listed phone number is (801) 773-4840.
What is Tanner Memorial Clinic's specialty?
The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.
Is Tanner Memorial Clinic enrolled in Medicare?
Yes. Tanner Memorial Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tanner Memorial Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 270 clinicians in 39 Medicare specialties reassign their Medicare billing to Tanner Memorial Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (50), Nurse Practitioner (42) and Diagnostic Radiology (28). Of these, 2 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tanner Memorial Clinic hold CLIA laboratory certificates?
Yes. 10 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 Tanner Memorial Clinic accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Tanner Memorial Clinic 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 Tanner Memorial Clinic was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Tanner Clinic · NPI 1104356013
Allergy organization in Murray, Utah. Organization record, active in the CMS NPPES registry since June 13, 2017.
## Identity
- **NPI:** 1104356013 (Entity type: Organization)
- **Enumerated:** June 13, 2017
- **Primary specialty:** Allergy & Immunology - Allergy · taxonomy 207KA0200X
- **Legal business name:** Tanner Memorial Clinic
- **Organization subpart:** No
- **Authorized official:** Kevin Spainhower, BUSINESS SERVICES DIRECTOR
## Practice location
- **Address:** 5296 S COMMERCE DR, Murray, UT 84107-4767
- **Phone:** (801) 773-4840 · **Fax:** (801) 525-8151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 270 clinicians in 39 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (50), Nurse Practitioner (42), Diagnostic Radiology (28); 2 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1104356013/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2020
- **CLIA laboratory certificates:** 10 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104356013) · Data from the CMS NPPES public registry.