SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC - NPI 1700234499

Q: What is Southwest Spine And Pain Care Specialists, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

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About Southwest Spine And Pain Care Specialists, Llc NPPES

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

SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC (NPI 1700234499) is a healthcare organization registered as a pain medicine in Vineyard, Utah and active in the NPI registry since June 2016. The organization holds 2 active CLIA laboratory certificates and lists Derek Lee Frieden, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1700234499

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameSOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC

Location Address691 E 400 N STE 110Vineyard, UT 84059-7509

Mailing AddressPo Box 912042St George, UT 84791-2042 · (435) 215-0230 · Fax (435) 656-2828

Phone(385) 203-0246

Fax(385) 203-0245

Organization SubpartYes

Authorized OfficialDerek Lee FriedenManaging Partner · (435) 215-0230

Enumeration DateJune 2, 2016

Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1700234499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

691 E 400 N STE 110, Vineyard, UT 84059

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 46D2277992

Southwest Spine And Pain Care Specialists, LLC · Salt Lake City, UT

Active · expires Mar 8, 2027

CLIA Number46D2277992

Laboratory TypePhysician Office

Certificate Effective DateMarch 9, 2025

Certificate Expiration DateMarch 8, 2027

Laboratory DirectorEric D. Freeman

Laboratory Phone(385) 203-0246

Laboratory LocationSouthwest Spine And Pain Care Specialists, LLC4624 S Holladay Blvd, Ste 201, Salt Lake City, UT 84117

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2118670

Southwest Spine And Pain Center · Orem, UT

Active · expires Sep 12, 2026

CLIA Number46D2118670

Laboratory TypePhysician Office

Certificate Effective DateSeptember 13, 2024

Certificate Expiration DateSeptember 12, 2026

Laboratory DirectorEric Freeman

Laboratory Phone(385) 203-0246

Laboratory LocationSouthwest Spine And Pain Center691 E 400 N, Ste 110, Orem, UT 84059

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

MR. CRAIG M. DOXEY P.A.

Physician Assistant