INNOVATION SURGICAL SPECIALTIES, LLC
NPI 1588326870
Clinic/Center - Ambulatory Surgical in Layton, UT

Active since October 13, 2021
836 S ANGEL ST, LAYTON, UT 84041(801) 540-7800 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Innovation Surgical Specialties, Llc NPPES

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

INNOVATION SURGICAL SPECIALTIES, LLC (NPI 1588326870) is a healthcare organization registered as an ambulatory surgical in Layton, Utah and active in the NPI registry since October 2021. The organization lists Brandon Aven, Chief Strategy Officer, as its authorized official.

NPPES Registry Identity

NPI1588326870
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINNOVATION SURGICAL SPECIALTIES, LLC
Location Address836 S ANGEL STLayton, UT 84041-3687
Mailing Address836 S Angel StLayton, UT 84041-3687 · (801) 540-7800
Organization SubpartNo
Authorized OfficialBrandon AvenChief Strategy Officer · (503) 741-7755
Enumeration DateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
NPI 1588326870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
836 S ANGEL ST, Layton, UT 84041

Other Identifiers 1

Other12194550-0160UT · State Of Utah

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 46D2242890

Innovation Surgical Specialties, LLC · Layton, UT
Expired · Nov 14, 2025
CLIA Number46D2242890
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 15, 2023
Certificate Expiration DateNovember 14, 2025
Laboratory DirectorDoug Toole
Laboratory Phone(801) 540-7800
Laboratory LocationInnovation Surgical Specialties, LLC836 S Angel Street, Suite 103, Layton, UT 84041
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
836 S ANGEL ST
LAYTON, UT 84041

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 Innovation Surgical Specialties, LLC's NPI number?

The NPI number for Innovation Surgical Specialties, LLC is 1588326870. It was assigned to this organization in the NPPES registry on October 13, 2021.

Where is Innovation Surgical Specialties, LLC located?

Innovation Surgical Specialties, LLC is located at 836 S Angel St, Layton, UT 84041. The listed phone number is (801) 540-7800.

What is Innovation Surgical Specialties, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Innovation Surgical Specialties, LLC was last updated on October 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.