GRANITE PEAKS PATHOLOGY
NPI 1124277496
Pathology - Anatomic Pathology & Clinical Pathology in Sandy, UT

NPI Status: Active since September 11, 2008

Contact Information

1393 E SEGO LILY DR
SANDY, UT
ZIP 84092
Phone: (801) 619-9000
Fax: (801) 619-9001

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 46D1065407
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-27-2027

About GRANITE PEAKS PATHOLOGY

This page provides the complete NPI Profile along with additional information for Granite Peaks Pathology, a provider established in Sandy, Utah operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1124277496 assigned on September 2008. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Granite Peaks Pathology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Granite Peaks Pathology. The authorized official of this NPI record is Robert Kyle Barnett M.d. (President)

NPI
1124277496
Provider Legal Name
GRANITE PEAKS PATHOLOGY P.C.
Other Organization Name
GRANITE PEAKS PATHOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1393 E SEGO LILY DR SANDY, UT 84092
Location Phone
(801) 619-9000
Location Fax
(801) 619-9001
Mailing Address
1393 E SEGO LILY DR SANDY, UT 84092
Mailing Phone
(801) 619-9000
Mailing Fax
(801) 619-9001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2008
Last Update Date
09-27-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZP0105XAllopathic & Osteopathic Physicians

Pathology
Clinical Pathology/Laboratory Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT KYLE BARNETT M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(801) 619-9000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D1065407
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
ANDREW HEINER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Granite Peaks Pathology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124277496, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 4 + 7 + 1 + 4 + 4 + 1 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1124277496.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Specialist
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Nurse Anesthetist, Certified Registered
1393 E SEGO LILY DR
SANDY, UT 84092
Physician Assistant
1393 E SEGO LILY DR
SANDY, UT 84092
Nurse Practitioner (Family)
1393 E SEGO LILY DR
SANDY, UT 84092
Nurse Practitioner (Family)
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Nurse Practitioner (Family)
1393 E SEGO LILY DR
SANDY, UT 84092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124277496, enumerated as an "organization" on September 11, 2008.

The provider is located at 1393 E SEGO LILY DR SANDY, UT 84092 and the phone number is (801) 619-9000.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.