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PHYSICIANS SURGERY CENTER, LLC
NPI 1356395586
Clinic/Center - Ambulatory Surgical in Salt Lake City, UT

Active since May 20, 2006CLIA 46D1052477 · Waiver
1485 E 3900 S, SALT LAKE CITY, UT 84124(801) 277-2062(801) 274-3233 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Physicians Surgery Center, Llc NPPES

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

PHYSICIANS SURGERY CENTER, LLC (NPI 1356395586) is a healthcare organization registered as an ambulatory surgical in Salt Lake City, Utah and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Kevin H. Charlton, M.d. Manager - Member, as its authorized official.

NPPES Registry Identity

NPI1356395586
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHYSICIANS SURGERY CENTER, LLC
Location Address1485 E 3900 SSalt Lake City, UT 84124-1412
Mailing Address1485 E 3900 SSalt Lake City, UT 84124-1412 · (801) 277-2062 · Fax (801) 274-3233
Phone(801) 277-2062
Fax(801) 274-3233
Organization SubpartNo
Authorized OfficialKevin H. CharltonM.d. Manager - Member · (801) 277-2062
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 8, 2014
✔ NPI 1356395586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in UT · 2006-ASF-74408
1485 E 3900 S, Salt Lake City, UT 84124
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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 46D1052477

Physicians Surgery Center · Salt Lake City, UT
Active · expires Mar 26, 2028
CLIA Number46D1052477
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorDavid L. Skalka
Laboratory Phone(801) 277-2062
Laboratory LocationPhysicians Surgery Center1485 E 3900 S, Salt Lake City, UT 84124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
248 services43 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
233 services145 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
65 services49 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
22 services18 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
18 services14 patients

Other Providers at the Same Location NPPES 5

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

MRS. ALISIA KAY POLZIN
Technician/Technologist (Optician)
1485 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 277-2062
JEFFREY BELL
Nurse Anesthetist, Certified Registered
1485 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 277-2062
COREY A MILLER MD PC
Ophthalmology
1485 E 3900 S, STE 103
SALT LAKE CITY, UT 84124
Salt Lake County (801) 277-1087
MOUNT OLYMPUS OPTICAL
Technician/Technologist (Optician)
1485 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 277-2062
LAURA FARLEY CRNA PLLC
Nurse Anesthetist, Certified Registered
1485 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 296-2113

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 Physicians Surgery Center, LLC's NPI number?

The NPI number for Physicians Surgery Center, LLC is 1356395586. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Physicians Surgery Center, LLC located?

Physicians Surgery Center, LLC is located at 1485 E 3900 S, Salt Lake City, UT 84124. The listed phone number is (801) 277-2062.

What is Physicians Surgery Center, LLC's specialty?

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

Does Physicians Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1052477) is associated with this NPI, valid through March 26, 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 Physicians Surgery Center, LLC was last updated on July 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.