STAT-MD I
NPI 1164063277
Clinic/Center - Primary Care in Park City, UT

Q: What is Stat-Md I's NPI number?

The NPI number for Stat-Md I is 1164063277. It was assigned to this organization in the NPPES registry on October 1, 2019.

Q: What is Stat-Md I's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Stat-Md I was last updated on October 1, 2019. 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.

Active since October 01, 2019CLIA 46D2099233 · Waiver

1784 UINTA WAY UNIT E2, PARK CITY, UT 84098(435) 604-0160(435) 731-8328 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stat-md I NPPES

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

STAT-MD I (NPI 1164063277) is a healthcare organization registered as a primary care in Park City, Utah and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Bryan Knepper, Owner, as its authorized official.

NPPES Registry Identity

NPI1164063277

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSTAT-MD I

Location Address1784 UINTA WAY UNIT E2Park City, UT 84098-7685

Mailing AddressPo Box 981630Park City, UT 84098-1630 · (435) 604-0160 · Fax (435) 604-0160

Phone(435) 604-0160

Fax(435) 731-8328

Organization SubpartNo

Authorized OfficialBryan KnepperOwner · (435) 604-0160

Enumeration DateOctober 1, 2019

✔ NPI 1164063277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedInternal MedicineTaxonomy 207R00000X

1784 UINTA WAY UNIT E2, Park City, UT 84098

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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 46D2099233

Stat-Md · Park City, UT

Active · expires Jul 21, 2027

CLIA Number46D2099233

Laboratory TypeUrgent Care

Certificate Effective DateJuly 22, 2025

Certificate Expiration DateJuly 21, 2027

Laboratory DirectorJennifer Knepper

Laboratory Phone(435) 604-0160

Laboratory LocationStat-Md1784 Uinta Way, Suite E-2, Park City, UT 84098

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

JUPITER MEDICAL I LLC

Internal Medicine