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GRANGER MEDICAL MILLCREEK
NPI 1447667217
Clinic/Center - Primary Care in Salt Lake City, UT

Active since July 14, 2014CLIA Certified · 2 labs
1250 E 3900 S, SUITE 250, SALT LAKE CITY, UT 84124(801) 268-6283(801) 263-3579 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Granger Medical Millcreek NPPES

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

GRANGER MEDICAL MILLCREEK (NPI 1447667217) is a healthcare organization registered as a primary care in Salt Lake City, Utah and active in the NPI registry since July 2014. The organization holds 2 active CLIA laboratory certificates and lists Anne Whitaker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1447667217
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGRANGER MEDICAL CLINIC, INC.
Location Address1250 E 3900 S, SUITE 250Salt Lake City, UT 84124-1348
Mailing Address1250 E 3900 S, Suite 250Salt Lake City, UT 84124-1348 · (801) 268-6283 · Fax (801) 263-3579
Phone(801) 268-6283
Fax(801) 263-3579
Organization SubpartYes
Authorized OfficialAnne WhitakerCredentialing Coordinator · (801) 965-3505
Enumeration DateJuly 14, 2014
✔ NPI 1447667217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in UT · 050912
1250 E 3900 S, Salt Lake City, UT 84124
Open in Google Maps ↗

Other Names 1

Doing Business AsGranger Medical Millcreek

Other Identifiers 1

Medicare UPIN000004880

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 46D1027928

Granger Medical Clinic / Lab · Salt Lake City, UT
Active · expires Feb 5, 2027
CLIA Number46D1027928
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorDr. Brian Kelly
Laboratory Phone(801) 965-3482
Laboratory LocationGranger Medical Clinic / Lab995 W Levoy Dr, Salt Lake City, UT 84123
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 46D2316503

Granger Medical Clinic Pain And Spine Cottonwood Heights · Salt Lake City, UT
Active · expires Jan 6, 2027
CLIA Number46D2316503
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorGeeta Nagpal
Laboratory Phone(801) 569-5547
Laboratory LocationGranger Medical Clinic Pain And Spine Cottonwood Heights6322 S 3000 E, Ste 100, Salt Lake City, UT 84121
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

UTAH ORTHOPAEDIC ASSOCIATES
Orthopaedic Surgery
1250 E 3900 S, #440
SLC, UT 84124
Salt Lake County (801) 261-2232
DR. MELANIE ANN DANCE M.D.
Family Medicine
1250 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
DR. FRANCIS JOHN WAPNER M.D.
Ophthalmology
1250 E 3900 S, #310
SALT LAKE CITY, UT 84124
Salt Lake County (801) 263-2020
DR. RONALD D JOSEPH M.D.
Internal Medicine (Gastroenterology)
1250 E 3900 S, SUITE 360
SALT LAKE CITY, UT 84124
Salt Lake County (801) 263-3041
ROBERT YENCHEK M.D.
Internal Medicine (Nephrology)
1250 E 3900 S, SUITE 410
SALT LAKE CITY, UT 84124
Salt Lake County (801) 281-5996
ALEC KITCH M.D.
Family Medicine
1250 E 3900 S, SUITE #260 BR
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
DR. DAVID BRADLEY TROWBRIDGE M.D.
Internal Medicine (Gastroenterology)
1250 E 3900 S, SUITE 360
SALT LAKE CITY, UT 84124
Salt Lake County (801) 263-3041
ROSEMARIE LINSLER NP
Nurse Practitioner (Family)
1250 E 3900 S, #260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000

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 Granger Medical Clinic, Inc.'s NPI number?

The NPI number for Granger Medical Clinic, Inc. is 1447667217. It was assigned to this organization in the NPPES registry on July 14, 2014. The provider is doing business as Granger Medical Millcreek.

Where is Granger Medical Clinic, Inc. located?

Granger Medical Clinic, Inc. is located at 1250 E 3900 S Suite 250, Salt Lake City, UT 84124. The listed phone number is (801) 268-6283.

What is Granger Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Granger Medical Clinic, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Granger Medical Clinic, Inc. was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.