CITY CREEK SURGICAL SERVICES
NPI 1295187730
Clinic/Center - Ambulatory Surgical in Salt Lake City, UT

Active since July 08, 2016CLIA 46D2260954 · Waiver
1046 E 100 S, SUITE D, SALT LAKE CITY, UT 84102(801) 746-2885 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About City Creek Surgical Services NPPES

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

CITY CREEK SURGICAL SERVICES (NPI 1295187730) is a healthcare organization registered as an ambulatory surgical in Salt Lake City, Utah and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through May 24, 2028 and lists Daniel Cottam, Owner, as its authorized official.

NPPES Registry Identity

NPI1295187730
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCITY CREEK SURGICAL SERVICES
Location Address1046 E 100 S, SUITE DSalt Lake City, UT 84102-1520
Mailing Address1046 E 100 S, Suite DSalt Lake City, UT 84102-1520 · (801) 746-2885
Organization SubpartNo
Authorized OfficialDaniel CottamOwner · (801) 746-2885
Enumeration DateJuly 8, 2016
NPI 1295187730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1046 E 100 S, Salt Lake City, UT 84102

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 46D2260954

City Creek Surgical Services · Salt Lake City, UT
Active · expires May 24, 2028
CLIA Number46D2260954
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorMindy Hall
Laboratory Phone(801) 410-5638
Laboratory LocationCity Creek Surgical Services1046 East 100 South, Suite D, Salt Lake City, UT 84102
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 12

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

Specialist (Research Study)
1046 E 100 S
SALT LAKE CITY, UT 84102
Physician Assistant
1046 E 100 S
SALT LAKE CITY, UT 84102
Surgery
1046 E 100 S
SALT LAKE CITY, UT 84102
Surgery
1046 E 100 S, STE. 110
SALT LAKE CITY, UT 84102
Surgery
1046 E 100 S
SALT LAKE CITY, UT 84102
Surgery
1046 E 100 S
SALT LAKE CITY, UT 84102
Surgery
1046 E 100 S, SUITE 400
SALT LAKE CITY, UT 84102
Surgery
1046 E 100 S
SALT LAKE CITY, UT 84102

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 City Creek Surgical Services's NPI number?

The NPI number for City Creek Surgical Services is 1295187730. It was assigned to this organization in the NPPES registry on July 8, 2016.

Where is City Creek Surgical Services located?

City Creek Surgical Services is located at 1046 E 100 S Suite D, Salt Lake City, UT 84102. The listed phone number is (801) 746-2885.

What is City Creek Surgical Services's specialty?

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

Does City Creek Surgical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2260954) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Creek Surgical Services was last updated on July 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.