RIVERSIDE MEDICAL ARTS - NPI 1114164365 - Specialist in St George, UT

Q: What is Southern Utah Surgical And Laser Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Riverside Medical Arts NPPES

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

RIVERSIDE MEDICAL ARTS (NPI 1114164365) is a healthcare organization registered as a specialist in St George, Utah and active in the NPI registry since January 2009. The organization holds a CLIA Certificate of Compliance certificate valid through July 10, 2027 and lists Benjamin Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1114164365

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHERN UTAH SURGICAL AND LASER AESTHETICS LLC

Location Address1068 E RIVERSIDE DRSt George, UT 84790-4477

Mailing Address1068 E Riverside DrSt George, UT 84790-4477 · (435) 628-6466

Phone(435) 628-6466

Fax(435) 628-3845

Organization SubpartNo

Authorized OfficialBenjamin CarterOwner · (435) 628-6466

Enumeration DateJanuary 9, 2009

Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2022

✔ NPI 1114164365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedDermatologyTaxonomy 207N00000X

1068 E RIVERSIDE DR, St George, UT 84790

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Other Names 1

Doing Business AsRiverside Medical Arts

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

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 Compliance 46D2018895

Riverside Medical Arts · St George, UT

Active · expires Jul 10, 2027

CLIA Number46D2018895

Laboratory TypePhysician Office

Certificate Effective DateJuly 11, 2025

Certificate Expiration DateJuly 10, 2027

Laboratory DirectorBenjamin G. Carter MD

Laboratory Phone(435) 628-6466

Laboratory LocationRiverside Medical Arts1068 East Riverside Drive, St George, UT 84790

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

DR. BENJAMIN GILL CARTER M.D.

Dermatology