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SRS-PAYSON, LLC
NPI 1548835879
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Payson, UT

Active since May 20, 2021CLIA 46D1089029 · Waiver
15 S 1000 E, PAYSON, UT 84651(888) 883-6407(855) 631-0206 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Srs-payson, Llc NPPES

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

SRS-PAYSON, LLC (NPI 1548835879) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Payson, Utah and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Jerome Tannenbaum, Ceo And Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1548835879
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSRS-PAYSON, LLC
Location Address15 S 1000 EPayson, UT 84651-5590
Mailing AddressPo Box 198813Nashville, TN 37219-8813 · (615) 988-1060 · Fax (855) 631-0206
Phone(888) 883-6407
Fax(855) 631-0206
Organization SubpartNo
Authorized OfficialJerome TannenbaumCeo And Chairman Of The Board · (615) 467-0140
Enumeration DateMay 20, 2021
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1548835879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
15 S 1000 E, Payson, UT 84651
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.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 46D1089029

Srs-Payson, LLC Dba Srs-Dialysis Of Payson · Payson, UT
Active · expires Sep 8, 2026
CLIA Number46D1089029
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorIrel S. Eppich
Laboratory Phone(615) 988-7881
Laboratory LocationSrs-Payson, LLC Dba Srs-Dialysis Of Payson15 South 1000 East Suite 50, Payson, UT 84651
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 7

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

MICHAEL FULLMER DO
Pediatrics
15 S 1000 E, SUITE 200
PAYSON, UT 84651
Utah County (801) 465-2800
DR. JONATHAN PAUL PETERSON M.D.
Pediatrics
15 S 1000 E, SUITE 200
PAYSON, UT 84651
Utah County (801) 465-2800
UTAH COUNTY MEDICAL ASSOCIATES
Family Medicine
15 S 1000 E, SUITE 300
PAYSON, UT 84651
Utah County (801) 465-4899
UNIVERSITY OF UTAH PAYSON REGIONAL DIALYSIS CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
15 S 1000 E, #50
PAYSON, UT 84651
Utah County (801) 888-8888
ROCK CREEK NEUROSURGERY, LLC
Neurological Surgery
15 S 1000 E, SUITE 225
PAYSON, UT 84651
Utah County (801) 609-9310
CHAD WILLIAM FARLEY MD
Neurological Surgery
15 S 1000 E, SUITE 225
PAYSON, UT 84651
Utah County (801) 609-9310
CENTRAL UTAH CLINIC, P.C.
Urology
15 S 1000 E, SUITE 225
PAYSON, UT 84651
Utah County (801) 465-2511

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 Srs-Payson, LLC's NPI number?

The NPI number for Srs-Payson, LLC is 1548835879. It was assigned to this organization in the NPPES registry on May 20, 2021.

Where is Srs-Payson, LLC located?

Srs-Payson, LLC is located at 15 S 1000 E, Payson, UT 84651. The listed phone number is (888) 883-6407.

What is Srs-Payson, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Srs-Payson, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1089029) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Srs-Payson, LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Srs-Payson, LLC 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 Srs-Payson, LLC was last updated on May 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.