1. Home
  2. Directory
  3. Utah
  4. Bluffdale
  5. Clinic Center
  6. NPI Profile

SUNDARA MEDICAL LLC
NPI 1720825573
Clinic/Center - Multi-Specialty in Bluffdale, UT

Active since July 10, 2024CLIA 46D2308670 · Waiver
14629 S PORTER ROCKWELL BLVD, BLUFFDALE, UT 84065(801) 410-1100(801) 332-9577 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2025, Jul 12, 2024 (2 updates tracked since 2024).

About Sundara Medical Llc NPPES

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

SUNDARA MEDICAL LLC (NPI 1720825573), doing business as Sundara Mhs, is a healthcare organization registered as a multi-specialty in Bluffdale, Utah and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through July 30, 2026 and lists Tamara Broadhead, Dnp, as its authorized official.

NPPES Registry Identity

NPI1720825573
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSUNDARA MEDICAL LLC
Location Address14629 S PORTER ROCKWELL BLVDBluffdale, UT 84065
Mailing Address14629 S Porter Rockwell BlvdBluffdale, UT 84065
Phone(801) 410-1100
Fax(801) 332-9577
Organization SubpartNo
Authorized OfficialTamara BroadheadDnp · (801) 410-1100
Enumeration DateJuly 10, 2024
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1720825573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
14629 S PORTER ROCKWELL BLVD, Bluffdale, UT 84065
Open in Google Maps ↗

Other Names 1

Doing Business AsSundara Mhs

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

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 46D2308670

Sundara Medical · Bluffdale, UT
Active · expires Jul 30, 2026
CLIA Number46D2308670
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorTamara Broadhead
Laboratory Phone(801) 410-1100
Laboratory LocationSundara Medical14629 Porter Rockwell Boulevard, Bluffdale, UT 84065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SUNDARA MHS LLC
Clinic/Center (Multi-Specialty)
14629 S PORTER ROCKWELL BLVD
BLUFFDALE, UT 84065
Salt Lake County (801) 410-1100

Frequently Asked Questions

What is SUNDARA MEDICAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1720825573, enumerated as an "organization" on July 10, 2024.

Where is the provider located?

The provider is located at 14629 S PORTER ROCKWELL BLVD BLUFFDALE, UT 84065 and the phone number is (801) 410-1100.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

What insurance does SUNDARA MEDICAL LLC accept?

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.