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MOUNTAIN WEST PEDIATRICS AND BEDTIME KIDS CARE
NPI 1366719015
Clinic/Center in Tooele, UT

Active since November 23, 2011CLIA 46D1030419 · Waiver
2356 N 400 E, SUITE 202, TOOELE, UT 84074(435) 843-8380(435) 843-8382 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain West Pediatrics And Bedtime Kids Care NPPES

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

MOUNTAIN WEST PEDIATRICS AND BEDTIME KIDS CARE (NPI 1366719015) is a healthcare organization registered as a clinic/center in Tooele, Utah and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through September 6, 2026 and lists Jim J Gould, Owner, as its authorized official.

NPPES Registry Identity

NPI1366719015
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJIM J. GOULD, MD PC
Location Address2356 N 400 E, SUITE 202Tooele, UT 84074-3409
Mailing Address2356 N 400 E, Suite 202Tooele, UT 84074-3409 · (435) 843-8380 · Fax (435) 843-8382
Phone(435) 843-8380
Fax(435) 843-8382
Organization SubpartNo
Authorized OfficialJim J GouldOwner · (435) 843-8380
Enumeration DateNovember 23, 2011
✔ NPI 1366719015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in UT · 49470565-8905
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2356 N 400 E, Tooele, UT 84074
Open in Google Maps ↗

Other Names 1

Doing Business AsMountain West Pediatrics And Bedtime Kids Care

Other Identifiers 1

Medicaid533965715001UT

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 46D1030419

Mountain West Pediatrics · Tooele, UT
Active · expires Sep 6, 2026
CLIA Number46D1030419
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorGordon Duval
Laboratory Phone(435) 843-8380
Laboratory LocationMountain West Pediatrics2356 N 400 E, Ste 202, Tooele, UT 84074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

JESSE YARRINGTON
Physician Assistant
2356 N 400 E, STE 201
TOOELE, UT 84074
Tooele County (435) 882-2350
BLAKE RICHARD BEAZER MD
Family Medicine
2356 N 400 E, STE 201
TOOELE, UT 84074
Tooele County (435) 882-2350
CRAIG AARON PACKHAM PA-C
Physician Assistant (Medical)
2356 N 400 E, STE 102
TOOELE, UT 84074
Tooele County (435) 833-9180
BLAKE R. BEAZER, M.D., INC
Family Medicine
2356 N 400 E, STE. 201
TOOELE, UT 84074
Tooele County (435) 882-2350
SERGIO ABARCA M.D.
Family Medicine
2356 N 400 E, STE 201
TOOELE, UT 84074
Tooele County (435) 882-2350
TOOELE FOOT & ANKLE CLINIC, INC.
Podiatrist (Foot & Ankle Surgery)
2356 N 400 E, STE 104
TOOELE, UT 84074
Tooele County (435) 882-0711
HAYLEY BALDWIN BALDWIN LCSW
Social Worker (Clinical)
2356 N 400 E
TOOELE, UT 84074
Tooele County (435) 850-2547
ACG COUNSELING SERVICES, LLC
Counselor (Professional)
2356 N 400 E, SUITE 202
TOOELE, UT 84074
Tooele County (801) 783-9292

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 Jim J. Gould, MD PC's NPI number?

The NPI number for Jim J. Gould, MD PC is 1366719015. It was assigned to this organization in the NPPES registry on November 23, 2011. The provider is doing business as Mountain West Pediatrics And Bedtime Kids Care.

Where is Jim J. Gould, MD PC located?

Jim J. Gould, MD PC is located at 2356 N 400 E Suite 202, Tooele, UT 84074. The listed phone number is (435) 843-8380.

What is Jim J. Gould, MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Jim J. Gould, MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1030419) is associated with this NPI, valid through September 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jim J. Gould, MD PC was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.