GRANGER MEDICAL CLINIC PC
NPI 1356425672
Specialist in Salt Lake City, UT
NPI Status: Active since October 24, 2006
Contact Information
348 E 4500 S
SUITE 200
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 262-9800
Fax: (801) 262-8300
- Organization
- Specialist
- CLIA Number: 46D2157488
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-20-2026
About GRANGER MEDICAL CLINIC PC
This page provides the complete NPI Profile along with additional information for Granger Medical Clinic Pc, a provider established in Salt Lake City, Utah operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1356425672 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number 164813-1205 (UT). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mary Jane Pennington M.d. (Board Member)
- NPI
- 1356425672
- Provider Name
- GRANGER MEDICAL CLINIC PC
- Entity Type
- Organization
- Location Address
- 348 E 4500 S SUITE 200 SALT LAKE CITY, UT 84107
- Location Phone
- (801) 262-9800
- Location Fax
- (801) 262-8300
- Mailing Address
- 3725 W 4100 S WEST VALLEY CITY, UT 84120
- Mailing Phone
- (801) 965-3600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2006
- Last Update Date
- 12-10-2015
- Code Navigator
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 164813-1205
- License State
- UT
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 46D2157488
- Facility Type
- Physician Office
- Certificate Effective Date
- March 21, 2024
- Certificate Expiration Date
- March 20, 2026
- Laboratory Director
- SEAN D. PETERSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Granger Medical Clinic Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for GRANGER MEDICAL CLINIC PC
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 1356425672, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
SALT LAKE CITY, UT 84107
SALT LAKE CITY, UT 84107
SALT LAKE CITY, UT 84107
SALT LAKE CITY, UT 84107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356425672, enumerated as an "organization" on October 24, 2006.
The provider is located at 348 E 4500 S SUITE 200 SALT LAKE CITY, UT 84107 and the phone number is (801) 262-9800.
Specialist with taxonomy code 174400000X.
