SRS-WEBER VALLEY, LLC
NPI 1568037786
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Marriott Slaterville, UT
NPI Status: Active since May 20, 2021
Contact Information
1920 W 250 N
MARRIOTT SLATERVILLE, UT
ZIP 84404
Phone: (888) 883-0265
Fax: (855) 631-0206
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 46D1084194
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 05-18-2026
About SRS-WEBER VALLEY, LLC
This page provides the complete NPI Profile along with additional information for Srs-weber Valley, Llc, a provider established in Marriott Slaterville, Utah operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1568037786 assigned on May 2021. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jerome S Tannenbaum Md (Ceo And Chairman Of The Board)
- NPI
- 1568037786
- Provider Name
- SRS-WEBER VALLEY, LLC
- Entity Type
- Organization
- Location Address
- 1920 W 250 N MARRIOTT SLATERVILLE, UT 84404
- Location Phone
- (888) 883-0265
- Location Fax
- (855) 631-0206
- Mailing Address
- PO BOX 198813 NASHVILLE, TN 37219
- Mailing Phone
- (615) 988-7881
- Mailing Fax
- (855) 631-0206
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2021
- Last Update Date
- 05-21-2021
- Code Navigator
Location Map
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
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 2000 - EPO
- Regence Standard Silver 6000 - EPO
- Silver 6500 - 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
- 46D1084194
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- May 19, 2024
- Certificate Expiration Date
- May 18, 2026
- Laboratory Director
- BRUCE L. HOROWITZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Srs-weber Valley, 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 SRS-WEBER VALLEY, 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 1568037786, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
MARRIOTT-SLATERVILLE CITY, UT 84404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568037786, enumerated as an "organization" on May 20, 2021.
The provider is located at 1920 W 250 N MARRIOTT SLATERVILLE, UT 84404 and the phone number is (888) 883-0265.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
