CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
NPI 1265892012
Clinical Medical Laboratory in Salt Lake City, UT

NPI Status: Active since March 07, 2016

Contact Information

660 S 200 E STE 250
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 359-2256
Fax: (801) 364-4392

Get Directions Write a Review

  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 46D2322072
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-14-2027

About CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

This page provides the complete NPI Profile along with additional information for Confederated Tribes Of The Goshute Reservation, a provider established in Salt Lake City, Utah operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1265892012 assigned on March 2016. The practitioner's primary taxonomy code is 291U00000X with license number 9453799-8906 (UT). The provider is registered as an organization and their NPI record was last updated December 2025. The provider's . The authorized official of this NPI record is Linda Thatcher (Billing)

NPI
1265892012
Provider Legal Name
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
660 S 200 E STE 250 SALT LAKE CITY, UT 84111
Location Phone
(801) 359-2256
Location Fax
(801) 364-4392
Mailing Address
HC 61 BOX 6104 IBAPAH, UT 84034
Mailing Phone
(801) 359-2256
Mailing Fax
(801) 364-4392
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2016
Last Update Date
12-11-2025
Code Navigator

Establishments like Confederated Tribes Of The Goshute Reservation are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
9453799-8906
License State
UT
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDA THATCHER

Authorized Official Title
BILLING
Authorized Official Phone
(801) 359-2256

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2322072
Facility Type
Physician Office
Certificate Effective Date
April 15, 2025
Certificate Expiration Date
April 14, 2027
Laboratory Director
CARISSA MONROY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Confederated Tribes Of The Goshute Reservation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265892012, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 6 + 9 + 4 + 0 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1265892012.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Dental Hygienist
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Dentist
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Nurse Practitioner (Family)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Social Worker
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Nurse Practitioner (Family)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Internal Medicine
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Optometrist
660 S 200 E STE 250
SLC, UT 84111
Physician Assistant
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Social Worker
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Counselor (Mental Health)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Physical Therapist
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Registered Nurse (Community Health)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Nurse Practitioner (Family)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Family Medicine
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Optometrist
660 S 200 E STE 250
SALT LAKE CITY, UT 84111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265892012, enumerated as an "organization" on March 07, 2016.

The provider is located at 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 and the phone number is (801) 359-2256.

Clinical Medical Laboratory with taxonomy code 291U00000X.