INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC
NPI 1487764411
Clinic/Center - Medical Specialty in Salt Lake City, UT

Q: What is Intermountain Ear,nose, And Throat Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since August 31, 2006CLIA 46D2043484 · Waiver

22 S 900 E, SALT LAKE CITY, UT 84102(801) 328-2522(801) 924-2900 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Intermountain Ear,nose, And Throat Specialists Llc NPPES

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

INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC (NPI 1487764411), doing business as Ear,nose And Throat Center Of Salt Lake City, is a healthcare organization registered as a medical specialty in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Evon Pefaur, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1487764411

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameINTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC

Location Address22 S 900 ESalt Lake City, UT 84102-1307

Mailing Address22 S 900 ESalt Lake City, UT 84102-1307 · (801) 328-2522 · Fax (801) 924-2900

Phone(801) 328-2522

Fax(801) 924-2900

Organization SubpartNo

Authorized OfficialEvon PefaurBilling Manager · (801) 328-2522

Enumeration DateAugust 31, 2006

Last NPPES UpdateApril 20, 2008

✔ NPI 1487764411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

22 S 900 E, Salt Lake City, UT 84102

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Other Names 1

Former Legal Business NameEar,nose And Throat Center Of Salt Lake City

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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 46D2043484

Intermountain Ear, Nose & Throat Specialists · Draper, UT

Active · expires Jul 2, 2028

CLIA Number46D2043484

Laboratory TypePhysician Office

Certificate Effective DateJuly 3, 2026

Certificate Expiration DateJuly 2, 2028

Laboratory DirectorMelissa Mathens

Laboratory Phone(801) 328-2522

Laboratory LocationIntermountain Ear, Nose & Throat Specialists756 East 12200 South, Draper, UT 84020

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

MICHELLE ADELAIDE PARKER

Speech-Language Pathologist