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

NPI Status: Active since May 20, 2006

Contact Information

1485 E 3900 S
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 277-2062
Fax: (801) 274-3233

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 46D1052477
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2028

About PHYSICIANS SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Physicians Surgery Center, Llc, a provider established in Salt Lake City, Utah operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1356395586 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 2006-ASF-74408 (UT). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Kevin H. Charlton M.d. (M.d. Manager - Member)

NPI
1356395586
Provider Name
PHYSICIANS SURGERY CENTER, LLC
Entity Type
Organization
Location Address
1485 E 3900 S SALT LAKE CITY, UT 84124
Location Phone
(801) 277-2062
Location Fax
(801) 274-3233
Mailing Address
1485 E 3900 S SALT LAKE CITY, UT 84124
Mailing Phone
(801) 277-2062
Mailing Fax
(801) 274-3233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2006
Last Update Date
07-08-2014
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
2006-ASF-74408
License State
UT

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

KEVIN H. CHARLTON M.D.

Authorized Official Title
M.D. MANAGER - MEMBER
Authorized Official Phone
(801) 277-2062

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Laser repair to improve eye fluid flow

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.

This service was performed 28 times for 21 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml

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.

This service was performed 285 times for 52 patients

Removal of cataract with insertion of prosthetic lens

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.

This service was performed 255 times for 158 patients

Removal of recurring cataract in lens capsule using a laser

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.

This service was performed 85 times for 62 patients

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
46D1052477
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 27, 2026
Certificate Expiration Date
March 26, 2028
Laboratory Director
DAVID L. SKALKA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Physicians Surgery Center, Llc 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.

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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 1356395586, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 5 → 10 → 1 3 → 6 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 6 + 9 + 1 + 0 + 5 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1356395586.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Technician/Technologist (Optician)
1485 E 3900 S
SALT LAKE CITY, UT 84124
Nurse Anesthetist, Certified Registered
1485 E 3900 S
SALT LAKE CITY, UT 84124
Ophthalmology
1485 E 3900 S, STE 103
SALT LAKE CITY, UT 84124
Technician/Technologist (Optician)
1485 E 3900 S
SALT LAKE CITY, UT 84124
Nurse Anesthetist, Certified Registered
1485 E 3900 S
SALT LAKE CITY, UT 84124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356395586, enumerated as an "organization" on May 20, 2006.

The provider is located at 1485 E 3900 S SALT LAKE CITY, UT 84124 and the phone number is (801) 277-2062.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.