INTERMOUNTAIN MEDICAL MONITORING LLC
NPI 1134429384
Anesthesiology - Pain Medicine in Fruit Heights, UT

NPI Status: Active since October 21, 2010

Contact Information

1306 DEER CREST
FRUIT HEIGHTS, UT
ZIP 84037
Phone: (801) 755-4509
Fax: (801) 593-9848

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • CLIA Number: 46D2078867
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-08-2027

About INTERMOUNTAIN MEDICAL MONITORING LLC

This page provides the complete NPI Profile along with additional information for Intermountain Medical Monitoring Llc, a provider established in Fruit Heights, Utah operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1134429384 assigned on October 2010. The practitioner's primary taxonomy code is 207LP2900X with license number 6049595-1204 (UT). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Darin S Stettler D.o. (Owner/manager/board Member)

NPI
1134429384
Provider Name
INTERMOUNTAIN MEDICAL MONITORING LLC
Entity Type
Organization
Location Address
1306 DEER CREST FRUIT HEIGHTS, UT 84037
Location Phone
(801) 755-4509
Location Fax
(801) 593-9848
Mailing Address
1306 DEERCREST FRUIT HEIGHTS, UT 84037
Mailing Phone
(801) 755-4509
Mailing Fax
(801) 593-9848
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-21-2010
Last Update Date
11-10-2011
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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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
6049595-1204
License State
UT
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MR. DARIN S STETTLER D.O.

Authorized Official Title
OWNER/MANAGER/BOARD MEMBER
Authorized Official Phone
(801) 755-4509

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
46D2078867
Facility Type
Community Clinic
Certificate Effective Date
March 09, 2025
Certificate Expiration Date
March 08, 2027
Laboratory Director
BRINTON S. WOODS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Intermountain Medical Monitoring Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1134429384, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 3 → 6 4 → 8 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 8 + 2 + 1 + 8 + 3 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1134429384.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134429384, enumerated as an "organization" on October 21, 2010.

The provider is located at 1306 DEER CREST FRUIT HEIGHTS, UT 84037 and the phone number is (801) 755-4509.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.