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NICOLAS MAVROMATIS MD
NPI 1629838420
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Active since March 20, 2024
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 581-4390 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Apr 16, 2024 (2 updates tracked since 2024).

About Nicolas Mavromatis Md NPPES

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

NICOLAS MAVROMATIS MD (NPI 1629838420) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (14239685-1205) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1629838420
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameNICOLAS MAVROMATISCredential: MD
Location Address15 N MEDICAL DR STE 1100Salt Lake City, UT 84112-1100
Mailing Address15 N Medical Dr Ste 1100Salt Lake City, UT 84112-1100 · (801) 581-4390
Phone(801) 581-4390
Sole ProprietorNo
Enumeration DateMarch 20, 2024
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1629838420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in UT · 14239685-1205
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
15 N MEDICAL DR STE 1100, Salt Lake City, UT 84112
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Other Providers at the Same Location NPPES 20

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

YAHYA DANESHBOD MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JOHN M. DAINES MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
GANNA SHESTAKOVA M.D. PH.D.
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 583-2787
KASEY DONEY DO
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
KATE HELENA PARKINSON MD
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
ELIZABETH S. DOUGHTY MD, PHD
Pathology (Anatomic Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
LUKE ANTHONY VAN GORP MD
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
ALEXANDER SCOTT LOKKEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390

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 Nicolas Mavromatis's NPI number?

The NPI number for Nicolas Mavromatis is 1629838420. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Nicolas Mavromatis located?

Nicolas Mavromatis practices at 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112. The listed phone number is (801) 581-4390.

What is Nicolas Mavromatis's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Nicolas Mavromatis was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.