1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Clinic Center
  6. NPI Profile

WASATCH VASCULAR CENTER ASC LLC
NPI 1184245169
Clinic/Center - Ambulatory Surgical in Salt Lake City, UT

Active since May 01, 2020CLIA Certified · 2 labs
3702 S STATE ST, SALT LAKE CITY, UT 84115(801) 281-0027 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2025, Feb 10, 2023, Sep 14, 2020 (3 updates tracked since 2020).

About Wasatch Vascular Center Asc Llc NPPES

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

WASATCH VASCULAR CENTER ASC LLC (NPI 1184245169) is a healthcare organization registered as an ambulatory surgical in Salt Lake City, Utah and active in the NPI registry since May 2020. The organization holds 2 active CLIA laboratory certificates and lists Gregg Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184245169
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWASATCH VASCULAR CENTER ASC LLC
Location Address3702 S STATE STSalt Lake City, UT 84115-5078
Mailing Address40 Valley Stream Pkwy Ste 100Malvern, PA 19355-1407 · (610) 644-8900 · Fax (484) 924-0053
Phone(801) 281-0027
Organization SubpartNo
Authorized OfficialGregg MillerAuthorized Official · (717) 515-4048
Enumeration DateMay 1, 2020
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1184245169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3702 S STATE ST, Salt Lake City, UT 84115
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.Insurance ›

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 of Waiver 46D2176320

Wasatch Vascular Center ASC, LLC Dba Wasatch Vascular Care · Salt Lake City, UT
Active · expires Dec 11, 2027
CLIA Number46D2176320
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorJames Carlisle
Laboratory Phone(801) 281-0027
Laboratory LocationWasatch Vascular Center ASC, LLC Dba Wasatch Vascular Care3702 South State Street, Suite 103, Salt Lake City, UT 84115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2196922

Wasatch Vascular Center LLC · Salt Lake City, UT
Active · expires Oct 19, 2026
CLIA Number46D2196922
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorJames Carslisle MD
Laboratory Phone(727) 916-1278
Laboratory LocationWasatch Vascular Center LLC3702 S State Street Suite 103, Salt Lake City, UT 84115
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
170 services99 patients
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901
This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
42 services34 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
32 services32 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
28 services27 patients
Injection, alteplase recombinant, 1 mg J2997
Alteplase recombinant is a medication given by injection. It's a clot-busting drug used to treat conditions like strokes or heart attacks by dissolving blood clots that block blood flow. The dose is typically 1 mg. It's crucial to administer it quickly after symptoms appear.
25 services11 patients
Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903
This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.
18 services18 patients

Other Providers at the Same Location NPPES

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

DONNER ANNE SCHWEITZER FNP
Nurse Practitioner (Family)
3702 S STATE ST
SALT LAKE CITY, UT 84115
Salt Lake County (801) 513-9146

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 Wasatch Vascular Center ASC LLC's NPI number?

The NPI number for Wasatch Vascular Center ASC LLC is 1184245169. It was assigned to this organization in the NPPES registry on May 1, 2020.

Where is Wasatch Vascular Center ASC LLC located?

Wasatch Vascular Center ASC LLC is located at 3702 S State St, Salt Lake City, UT 84115. The listed phone number is (801) 281-0027.

What is Wasatch Vascular Center ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Wasatch Vascular Center ASC LLC 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.

What insurance does Wasatch Vascular Center ASC LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Wasatch Vascular Center ASC LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wasatch Vascular Center ASC LLC was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.