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

Active since March 29, 2007CLIA Certified · 11 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: September 20, 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 11 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 11

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 46D0955523

Revere Health Urology · Provo, UT
Active · expires Jul 18, 2028
CLIA Number46D0955523
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorJoseph M. Armstrong
Laboratory Phone(801) 357-7327
Laboratory LocationRevere Health Urology1055 N 500 W Ste 211, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2258543

Revere Health Imaging · Provo, UT
Active · expires Apr 21, 2028
CLIA Number46D2258543
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorJason Eves
Laboratory Phone(801) 812-4624
Laboratory LocationRevere Health Imaging1055 N 500 W, Suite 112, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 46D2277901

Revere Health Provo Dermatology · Provo, UT
Active · expires Apr 3, 2028
CLIA Number46D2277901
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorReed Garza
Laboratory Phone(801) 374-8999
Laboratory LocationRevere Health Provo Dermatology1055 N 500 W Suite 111, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 46D2167500

Revere Health Provo Urgent Care · Provo, UT
Active · expires Feb 23, 2028
CLIA Number46D2167500
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorMs. Mckinzie O. Young
Laboratory Phone(801) 812-5033
Laboratory LocationRevere Health Provo Urgent Care1055 N 500 W Building A, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 46D2335687

Revere Health · Provo, UT
Active · expires Dec 15, 2027
CLIA Number46D2335687
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorRussell W. Rhoades
Laboratory Phone(801) 354-8276
Laboratory LocationRevere Health1055 N 500 W, Suite #212, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2335688

Revere Health · Provo, UT
Active · expires Dec 15, 2027
CLIA Number46D2335688
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorSoubhi Nizam
Laboratory Phone(801) 354-8276
Laboratory LocationRevere Health1055 N 500 W, Suite #205, Provo, UT 84604
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 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. 11 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.