WASATCH VASCULAR CENTER LLC
NPI 1558905398
Radiology - Vascular & Interventional Radiology in Salt Lake City, UT
NPI Status: Active since November 05, 2019
Contact Information
3702 S STATE ST STE 103
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 281-0027
Fax: (801) 262-1533
- Organization
- Radiology
- Vascular & Interventional Radiology
- Accepts Insurance
- CLIA Number: 46D2176320
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-11-2025
About WASATCH VASCULAR CENTER LLC
This page provides the complete NPI Profile along with additional information for Wasatch Vascular Center Llc, a provider established in Salt Lake City, Utah operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1558905398 assigned on November 2019. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Wasatch Vascular Center Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Gregg Miller Md (Authorized Official)
- NPI
- 1558905398
- Provider Name
- WASATCH VASCULAR CENTER LLC
- Entity Type
- Organization
- Location Address
- 3702 S STATE ST STE 103 SALT LAKE CITY, UT 84115
- Location Phone
- (801) 281-0027
- Location Fax
- (801) 262-1533
- Mailing Address
- 40 VALLEY STREAM PKWY STE 100 MALVERN, PA 19355
- Mailing Phone
- (610) 644-8900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-05-2019
- Last Update Date
- 02-10-2023
- Code Navigator
Location Map
Secondary Locations
- 3702 S State St Ste 105
Salt Lake City, UT 84115
(801) 298-1300 - 3702 S State St Ste 111
Salt Lake City, UT 84115
(801) 281-0027
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Vascular & Interventional Radiology
- Taxonomy Code
- 2085R0204X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2176320
- Facility Type
- Physician Office
- Certificate Effective Date
- December 12, 2023
- Certificate Expiration Date
- December 11, 2025
- Laboratory Director
- JAMES CARLISLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wasatch Vascular Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WASATCH VASCULAR CENTER LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558905398, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SOUTH SALT LAKE, UT 84115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558905398, enumerated as an "organization" on November 05, 2019.
The provider is located at 3702 S STATE ST STE 103 SALT LAKE CITY, UT 84115 and the phone number is (801) 281-0027.
Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.
The provider might be accepting Accepts: Molina Healthcare and University of Utah Health. Please consult your insurance carrier or call the provider to verify.
