1. Home
  2. Directory
  3. Utah
  4. Riverton
  5. Pediatrics
  6. NPI Profile

SOUTHRIDGE CLINIC PEDIATRICS
NPI 1518108166
Pediatrics in Riverton, UT

Active since March 11, 2009CLIA Certified · 2 labs
3723 W 12600 S, STE 330, RIVERTON, UT 84065(801) 285-4543 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southridge Clinic Pediatrics NPPES

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

SOUTHRIDGE CLINIC PEDIATRICS (NPI 1518108166) is a healthcare organization registered as a pediatrics in Riverton, Utah and active in the NPI registry since March 2009. The organization holds 2 active CLIA laboratory certificates and lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.

NPPES Registry Identity

NPI1518108166
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address3723 W 12600 S, STE 330Riverton, UT 84065-7296
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 285-4543
Phone(801) 285-4543
Organization SubpartNo
Authorized OfficialLinda C LeckmanCeo Intermountain Medical Group · (801) 442-3974
Enumeration DateMarch 11, 2009
Last NPPES UpdateMarch 15, 2016
✔ NPI 1518108166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 5722009
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3723 W 12600 S, Riverton, UT 84065
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthridge Clinic Pediatrics

Other Identifiers 1

Medicare UPIN000055456UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 46D2301785

Southridge Clinics · Riverton, UT
Active · expires Mar 31, 2028
CLIA Number46D2301785
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorJake S. Freeman
Laboratory Phone(801) 285-4636
Laboratory LocationSouthridge Clinics3723 W 12600 S Suite 270A, Riverton, UT 84065
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 46D1047127

Southridge Clinic - Instacare/Kidscare · Riverton, UT
Active · expires Feb 25, 2028
CLIA Number46D1047127
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorJason R. Savoldi
Laboratory Phone(801) 285-4560
Laboratory LocationSouthridge Clinic - Instacare/Kidscare3723 West 12600 South Ste 150, Riverton, UT 84065
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

JANE C BOWMAN MD
Obstetrics & Gynecology
3723 W 12600 S, SUITE 360
RIVERTON, UT 84065
Salt Lake County (801) 285-4700
J TIMOTHY DUFFY MD
Pediatrics
3723 W 12600 S, SUITE 450
RIVERTON, UT 84065
Salt Lake County (801) 285-4543
KRISTINA D ESHAM MD
Pediatrics
3723 W 12600 S, SUITE 450
RIVERTON, UT 84065
Salt Lake County (801) 285-4543
BHARANI G SRINIVASAN MD
Internal Medicine
3723 W 12600 S, SUITE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4646
DR. MARISA JOHANNA NAGLE M.D.
Pediatrics
3723 W 12600 S, SUITE 450
RIVERTON, UT 84065
Salt Lake County (801) 285-4543
IHC HEALTH SERVICES INC
Pediatrics
3723 W 12600 S, #150
RIVERTON, UT 84065
Salt Lake County (801) 285-4561
IHC HEALTH SERVICES INC
Emergency Medicine
3723 W 12600 S, #150
RIVERTON, UT 84065
Salt Lake County (801) 285-4560
DR. JANA FOLEY PARKER M.D.
Dermatology
3723 W 12600 S, SUITE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4610

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 Ihc Health Services Inc's NPI number?

The NPI number for Ihc Health Services Inc is 1518108166. It was assigned to this organization in the NPPES registry on March 11, 2009. The provider is doing business as Southridge Clinic Pediatrics.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 3723 W 12600 S Ste 330, Riverton, UT 84065. The listed phone number is (801) 285-4543.

What is Ihc Health Services Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Ihc Health Services 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 Ihc Health Services Inc was last updated on March 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.