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REVERE HEALTH
NPI 1174642102
Clinic/Center - Radiology in St George, UT

Active since March 29, 2007CLIA Certified · 2 labs
1490 E FOREMASTER DR BLDG C, ST GEORGE, UT 84790(435) 986-2238(435) 986-2237 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2018, Sep 13, 2017, Apr 19, 2017 (3 updates tracked since 2017).

About Revere Health NPPES

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

REVERE HEALTH (NPI 1174642102) is a healthcare organization registered as a radiology in St George, Utah and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Jed Harston, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1174642102
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameCENTRAL UTAH CLINIC, P.C.
Location Address1490 E FOREMASTER DR BLDG CSt George, UT 84790-4550
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(435) 986-2238
Fax(435) 986-2237
Organization SubpartNo
Authorized OfficialJed HarstonDirector Of Managed Care · (801) 812-5012
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 7, 20183 updates tracked since enumeration
✔ NPI 1174642102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
1490 E FOREMASTER DR BLDG C, St George, UT 84790
Open in Google Maps ↗

Other Names 1

Doing Business AsRevere Health

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 46D0525920

Revere Health-St George Lab · St George, UT
Active · expires Mar 31, 2027
CLIA Number46D0525920
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorEric J. Smith Mt Ascp
Laboratory Phone(435) 674-6093
Laboratory LocationRevere Health-St George Lab736 S 900 E #203, St George, UT 84790
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 46D2200185

Revere Health St George Multi-Specialty Clinic Laboratory · St George, UT
Active · expires Oct 21, 2026
CLIA Number46D2200185
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorBryan Evensen
Laboratory Phone(435) 674-6093
Laboratory LocationRevere Health St George Multi-Specialty Clinic Laboratory2825 East Mall Dr, St George, UT 84790
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

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

DESERT PEAK IMAGING, LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
1490 E FOREMASTER DR BLDG C
ST GEORGE, UT 84790
Washington County (435) 627-5390
ST GEORGE IMAGING LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
1490 E FOREMASTER DR BLDG C
SAINT GEORGE, UT 84790
Washington County (435) 986-2238

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 Central Utah Clinic, P.C.'s NPI number?

The NPI number for Central Utah Clinic, P.C. is 1174642102. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Revere Health.

Where is Central Utah Clinic, P.C. located?

Central Utah Clinic, P.C. is located at 1490 E Foremaster Dr Bldg C, St George, UT 84790. The listed phone number is (435) 986-2238.

What is Central Utah Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Central Utah Clinic, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Central Utah Clinic, P.C. was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.