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MT. OGDEN SURGICAL CENTER LLC
NPI 1659336881
Clinic/Center - Ambulatory Surgical in Ogden, UT

Active since April 19, 2006CLIA 46D0930717 · Waiver
4364 WASHINGTON BLVD, OGDEN, UT 84403(801) 479-4470 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mt. Ogden Surgical Center Llc NPPES

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

MT. OGDEN SURGICAL CENTER LLC (NPI 1659336881) is a healthcare organization registered as an ambulatory surgical in Ogden, Utah and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Jeffrey Love, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659336881
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMT. OGDEN SURGICAL CENTER LLC
Location Address4364 WASHINGTON BLVDOgden, UT 84403-1866
Mailing Address4364 Washington BlvdOgden, UT 84403-1866 · (801) 479-4470
Phone(801) 479-4470
Organization SubpartNo
Authorized OfficialJeffrey LoveAdministrator · (801) 479-4470
Enumeration DateApril 19, 2006
Last NPPES UpdateJune 24, 2010
✔ NPI 1659336881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in UT · 2005ASF880
4364 WASHINGTON BLVD, Ogden, UT 84403
Open in Google Maps ↗

Other Identifiers 1

Medicare PINU000001028

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 46D0930717

Mt Ogden Utah Surgical Center LLC · Ogden, UT
Active · expires Jul 16, 2027
CLIA Number46D0930717
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorDavid A. Johnson
Laboratory Phone(801) 479-4470
Laboratory LocationMt Ogden Utah Surgical Center LLC4364 Washington Blvd, Ogden, UT 84403
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DANNY LEROY COLE CRNA
Nurse Anesthetist, Certified Registered
4364 WASHINGTON BLVD
OGDEN, UT 84403
Weber County (801) 479-4470
LAYNE B CROXFORD CRNA
Nurse Anesthetist, Certified Registered
4364 WASHINGTON BLVD
OGDEN, UT 84403
Weber County (801) 479-4470
UTAH PAIN MANAGEMENT PC
Anesthesiology
4364 WASHINGTON BLVD
OGDEN, UT 84403
Weber County (801) 993-9527
MR. MICAH PATRICK KRONMILLER CRNA MS
Nurse Anesthetist, Certified Registered
4364 WASHINGTON BLVD
OGDEN, UT 84403
Weber County (801) 436-1637
DANNY COLE LLC
Nurse Anesthetist, Certified Registered
4364 WASHINGTON BLVD
OGDEN, UT 84403
Weber County (801) 825-4700
LAYNE B. CROXFORD CRNA PC
Nurse Anesthetist, Certified Registered
4364 WASHINGTON BLVD
OGDEN, UT 84403
Weber County (801) 479-4470
HIGHLANDS ANESTHESIA, INC.
Nurse Anesthetist, Certified Registered
4364 WASHINGTON BLVD
OGDEN, UT 84403
Weber County (801) 436-1637
STIMPSON ANESTHESIA, INC.
Nurse Anesthetist, Certified Registered
4364 WASHINGTON BLVD
OGDEN, UT 84403
Weber County (801) 781-4000

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 Mt. Ogden Surgical Center LLC's NPI number?

The NPI number for Mt. Ogden Surgical Center LLC is 1659336881. It was assigned to this organization in the NPPES registry on April 19, 2006.

Where is Mt. Ogden Surgical Center LLC located?

Mt. Ogden Surgical Center LLC is located at 4364 Washington Blvd, Ogden, UT 84403. The listed phone number is (801) 479-4470.

What is Mt. Ogden Surgical Center LLC's specialty?

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

Does Mt. Ogden Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0930717) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mt. Ogden Surgical Center LLC was last updated on June 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.