SOUTHWEST SKIN AND CANCER LLC - NPI 1619929783

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Southwest Skin And Cancer Llc NPPES

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

SOUTHWEST SKIN AND CANCER LLC (NPI 1619929783) is a healthcare organization registered as a specialist in St George, Utah and active in the NPI registry since May 2006. The organization maintains a secondary practice location in St George and lists W Bret Smith, Partner And Owner, as its authorized official.

NPPES Registry Identity

NPI1619929783

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHWEST SKIN AND CANCER LLC

Location Address383 S 300 ESt George, UT 84770-3620

Mailing Address383 S 300 ESt George, UT 84770-3620 · (435) 628-2826 · Fax (435) 628-2839

Phone(435) 628-2826

Fax(435) 628-2839

Organization SubpartNo

Authorized OfficialW Bret SmithPartner And Owner · (435) 628-2826

Enumeration DateMay 17, 2006

Last NPPES UpdateFebruary 14, 2024

NPPES CertifiedFebruary 13, 2024

✔ NPI 1619929783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

383 S 300 E, St George, UT 84770

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Secondary Practice Location 1

Location 1254 South 1470 East, 102St George, UT 84790 · Phone (435) 628-2826

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, 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 Compliance 46D0525866

Southwest Skin And Cancer · St George, UT

Expired · Jul 18, 2026

CLIA Number46D0525866

Laboratory TypePhysician Office

Certificate Effective DateJuly 19, 2024

Certificate Expiration DateJuly 18, 2026

Laboratory DirectorGreg R. Jacobsen

Laboratory Phone(435) 628-2826

Laboratory LocationSouthwest Skin And Cancer383 S 300 E, St George, UT 84770

CLIA data matches this NPI record on: Address Name Phone

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 9

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

DEAN W DUKE MD

Dermatology