1. Home
  2. Directory
  3. Utah
  4. West Valley City
  5. Clinic Center
  6. NPI Profile

UTAH SURGICAL CENTER, LLC
NPI 1629032305
Clinic/Center - Ambulatory Surgical in West Valley City, UT

Active since April 12, 2006CLIA 46D1006747 · Waiver
3715 W 4100 S, WEST VALLEY CITY, UT 84120(801) 957-0200(801) 957-0201 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Utah Surgical Center, Llc NPPES

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

UTAH SURGICAL CENTER, LLC (NPI 1629032305) is a healthcare organization registered as an ambulatory surgical in West Valley City, Utah and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Marla Jensen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629032305
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameUTAH SURGICAL CENTER, LLC
Location Address3715 W 4100 SWest Valley City, UT 84120-5537
Mailing AddressPo Box 26211Salt Lake City, UT 84126-0211 · (801) 957-0200 · Fax (801) 957-0201
Phone(801) 957-0200
Fax(801) 957-0201
Organization SubpartNo
Authorized OfficialMarla JensenAdministrator · (801) 957-0200
Enumeration DateApril 12, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1629032305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3715 W 4100 S, West Valley City, UT 84120
Open in Google Maps ↗

Other Identifiers 1

Medicaid=========001UT

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 46D1006747

Utah Surgical Center · West Valley City, UT
Active · expires Nov 26, 2026
CLIA Number46D1006747
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorJeff Wright
Laboratory Phone(801) 957-0200
Laboratory LocationUtah Surgical Center3715 W 4100 S, West Valley City, UT 84120
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 5

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

WASATCH FRONT SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
3715 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 417-1010
MADIGAN ANESTHESIA SERVICES, LLC
Nurse Anesthetist, Certified Registered
3715 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 993-9526
UTAH IMAGING CENTERS LLC
Radiologic Technologist (Magnetic Resonance Imaging)
3715 W 4100 S, STE 150
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 924-0029
PIONEER ANESTHESIA GROUP INC
Anesthesiology
3715 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (888) 304-6796
KAREN MADIGAN CRNA
Nurse Anesthetist, Certified Registered
3715 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 993-9526

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 Utah Surgical Center, LLC's NPI number?

The NPI number for Utah Surgical Center, LLC is 1629032305. It was assigned to this organization in the NPPES registry on April 12, 2006.

Where is Utah Surgical Center, LLC located?

Utah Surgical Center, LLC is located at 3715 W 4100 S, West Valley City, UT 84120. The listed phone number is (801) 957-0200.

What is Utah Surgical Center, LLC's specialty?

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

Does Utah Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1006747) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Utah Surgical Center, LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.