INDEPENDENT HISTOLOGY SERVICE LLC
NPI 1386728178
Clinical Medical Laboratory in Woodland Hills, UT
About Independent Histology Service Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDEPENDENT HISTOLOGY SERVICE LLC (NPI 1386728178) is a healthcare organization registered as a clinical medical laboratory in Woodland Hills, Utah and active in the NPI registry since October 2006. The organization lists Leslie D. Hendricksen, Owner Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Independent Histology Service Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Areas of Expertise CMS Part B claims
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.
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 Independent Histology Service LLC's NPI number?
The NPI number for Independent Histology Service LLC is 1386728178. It was assigned to this organization in the NPPES registry on October 25, 2006.
Where is Independent Histology Service LLC located?
Independent Histology Service LLC is located at 930 S Homestead Dr, Woodland Hills, UT 84653. The listed phone number is (801) 423-2334.
What is Independent Histology Service LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is Independent Histology Service LLC enrolled in Medicare?
Yes. Independent Histology Service LLC is registered in the Medicare PECOS enrollment system.
When is Independent Histology Service LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Slide Preparation Facilities) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Independent Histology Service LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.