MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC
NPI 1639350705
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Ogden, UT
NPI Status: Active since November 16, 2007
Contact Information
425 E 5350 S
SUITE #350
OGDEN, UT
ZIP 84405
Phone: (801) 476-6900
Fax: (801) 476-6991
- Organization
- Thoracic Surgery (Cardiothoracic Vascula...
- CLIA Number: 46D1092063
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-16-2026
About MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC
This page provides the complete NPI Profile along with additional information for Mountainstar Cardiovascular Services Llc, a provider established in Ogden, Utah operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1639350705 assigned on November 2007. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Kirt L Peterson (Administrator)
- NPI
- 1639350705
- Provider Name
- MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC
- Entity Type
- Organization
- Location Address
- 425 E 5350 S SUITE #350 OGDEN, UT 84405
- Location Phone
- (801) 476-6900
- Location Fax
- (801) 476-6991
- Mailing Address
- 425 E 5350 S SUITE #350 OGDEN, UT 84405
- Mailing Phone
- (801) 476-6900
- Mailing Fax
- (801) 476-6991
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2007
- Last Update Date
- 11-16-2007
- 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
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 46D1092063
- Facility Type
- Physician Office
- Certificate Effective Date
- November 17, 2024
- Certificate Expiration Date
- November 16, 2026
- Laboratory Director
- ROBERT F. ZINK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mountainstar Cardiovascular Services 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.
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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 1639350705, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
SOUTH OGDEN, UT 84405
OGDEN, UT 84405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639350705, enumerated as an "organization" on November 16, 2007.
The provider is located at 425 E 5350 S SUITE #350 OGDEN, UT 84405 and the phone number is (801) 476-6900.
Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
