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FAMILY SURGICAL SUITE
NPI 1508040221
Clinic/Center - Ambulatory Surgical in West Jordan, UT

Active since December 18, 2007CLIA 46D1086034 · Waiver
8822 S REDWOOD RD, SUITE 113, WEST JORDAN, UT 84088(801) 495-1064(801) 523-1139 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Surgical Suite NPPES

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

FAMILY SURGICAL SUITE (NPI 1508040221) is a healthcare organization registered as an ambulatory surgical in West Jordan, Utah and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Brian Jan Dehart, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1508040221
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFAMILY SURGICAL SUITE
Location Address8822 S REDWOOD RD, SUITE 113West Jordan, UT 84088-9336
Mailing Address8822 S Redwood Rd, Suite 113West Jordan, UT 84088-9336 · (801) 495-1064 · Fax (801) 523-1139
Phone(801) 495-1064
Fax(801) 523-1139
Organization SubpartNo
Authorized OfficialBrian Jan DehartManaging Member · (801) 495-1064
Enumeration DateDecember 18, 2007
✔ NPI 1508040221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
8822 S REDWOOD RD, West Jordan, UT 84088
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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 46D1086034

Family Surgical Suite · West Jordan, UT
Active · expires Jul 1, 2028
CLIA Number46D1086034
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorTyler D. Dehart
Laboratory Phone(801) 833-0474
Laboratory LocationFamily Surgical Suite8822 S Redwood Rd #c113, West Jordan, UT 84088
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

ROCKY MOUNTAIN THERAPY SERVICES WEST JORDAN LLC
Physical Therapist
8822 S REDWOOD RD, SUITE E122
WEST JORDAN, UT 84088
Salt Lake County (801) 566-7080
NUMB INSTITUTE, LLC
Specialist
8822 S REDWOOD RD, SUITE C113
WEST JORDAN, UT 84088
Salt Lake County (801) 285-7052
UTAH-MUA
Clinic/Center (Ambulatory Surgical)
8822 S REDWOOD RD, SUITE C113
WEST JORDAN, UT 84088
Salt Lake County (801) 466-7246
SCOTT R HOLLINGSWORTH DPM
Podiatrist
8822 S REDWOOD RD, SUITE C211
WEST JORDAN, UT 84088
Salt Lake County (801) 563-1975
JEFFREY MICHAEL POLLOCK P.A.-C.
Physician Assistant (Medical)
8822 S REDWOOD RD, SUITE C111
WEST JORDAN, UT 84088
Salt Lake County (801) 685-2730
UTAH PODIATRY GROUP LLC
Podiatrist (Foot & Ankle Surgery)
8822 S REDWOOD RD, SUITE E121
WEST JORDAN, UT 84088
Salt Lake County (801) 505-5277
BIOMECHANICS INSTITUTE PLLC
Podiatrist
8822 S REDWOOD RD, SUITE C211
WEST JORDAN, UT 84088
Salt Lake County (801) 563-1975
DUANE A BATES PA
Physician Assistant
8822 S REDWOOD RD, SUITE E122
WEST JORDAN, UT 84088
Salt Lake County (801) 256-0009

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 Family Surgical Suite's NPI number?

The NPI number for Family Surgical Suite is 1508040221. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Family Surgical Suite located?

Family Surgical Suite is located at 8822 S Redwood Rd Suite 113, West Jordan, UT 84088. The listed phone number is (801) 495-1064.

What is Family Surgical Suite's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Family Surgical Suite hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1086034) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Surgical Suite accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Family Surgical Suite as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Surgical Suite was last updated on December 18, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.