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SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC
NPI 1134582570
Anesthesiology - Pain Medicine in Logan, UT

Active since April 02, 2016CLIA 46D2067689 · Waiver
630 E 1400 N, SUITE 135, LOGAN, UT 84341(435) 656-2424(535) 787-8149 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2016, Apr 2, 2016 (2 updates tracked since 2016).

About Southwest Spine And Pain Care Specialists Llc NPPES

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

SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC (NPI 1134582570) is a healthcare organization registered as a pain medicine in Logan, Utah and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Jon Obtay, President, as its authorized official.

NPPES Registry Identity

NPI1134582570
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC
Location Address630 E 1400 N, SUITE 135Logan, UT 84341-2534
Mailing Address652 S Medical Center Dr, Suite 110St George, UT 84790-7049 · (435) 656-2424 · Fax (535) 787-8149
Phone(435) 656-2424
Fax(535) 787-8149
Organization SubpartNo
Authorized OfficialJon ObtayPresident · (435) 656-2424
Enumeration DateApril 2, 2016
Last NPPES UpdateSeptember 27, 20162 updates tracked since enumeration
✔ NPI 1134582570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
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.
630 E 1400 N, Logan, UT 84341
Open in Google Maps ↗

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

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 46D2067689

Southwest Spine And Pain Care Specialists · Logan, UT
Active · expires Oct 20, 2027
CLIA Number46D2067689
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorBrian F. Richardson
Laboratory Phone(435) 787-8146
Laboratory LocationSouthwest Spine And Pain Care Specialists630 E 1400 N Suite 135, Logan, UT 84341
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. VERLE DUANE BOHMAN M.D.
Internal Medicine (Gastroenterology)
630 E 1400 N, SUITE 100B
LOGAN, UT 84341
Cache County (435) 787-0270
DR. BRIAN MAYNARD DNP, FNP-BC
Nurse Practitioner
630 E 1400 N
LOGAN, UT 84341
Cache County (435) 915-4465
NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC
Internal Medicine (Gastroenterology)
630 E 1400 N
LOGAN, UT 84341
Cache County (435) 787-0270
NORTHERN UTAH ENDOSCOPY CENTER
Clinic/Center (Ambulatory Surgical)
630 E 1400 N, SUITE 100A
LOGAN, UT 84341
Cache County (435) 787-0270
DR. BRYAN R. LARSEN M.D.
Internal Medicine (Gastroenterology)
630 E 1400 N, SUITE 100B
LOGAN, UT 84341
Cache County (435) 787-0270

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 Southwest Spine And Pain Care Specialists LLC's NPI number?

The NPI number for Southwest Spine And Pain Care Specialists LLC is 1134582570. It was assigned to this organization in the NPPES registry on April 2, 2016.

Where is Southwest Spine And Pain Care Specialists LLC located?

Southwest Spine And Pain Care Specialists LLC is located at 630 E 1400 N Suite 135, Logan, UT 84341. The listed phone number is (435) 656-2424.

What is Southwest Spine And Pain Care Specialists LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Southwest Spine And Pain Care Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2067689) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwest Spine And Pain Care Specialists LLC was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.