NORTHERN UTAH SURGICENTER, LLC
NPI 1750263745
Clinic/Center - Ambulatory Surgical in Logan, UT
About Northern Utah Surgicenter, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN UTAH SURGICENTER, LLC (NPI 1750263745), doing business as Advanced Surgery Center Of Northern Utah, is a healthcare organization registered as an ambulatory surgical in Logan, Utah and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists David Mcknight, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 46D2156197
Northern Utah Surgicenter, LLC · Logan, UTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOGAN, UT 84321
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 Northern Utah Surgicenter, LLC's NPI number?
The NPI number for Northern Utah Surgicenter, LLC is 1750263745. It was assigned to this organization in the NPPES registry on July 22, 2025. The provider is doing business as Advanced Surgery Center of Northern Utah.
Where is Northern Utah Surgicenter, LLC located?
Northern Utah Surgicenter, LLC is located at 55 E Golf Course Rd, Logan, UT 84321. The listed phone number is (435) 787-7190.
What is Northern Utah Surgicenter, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Northern Utah Surgicenter, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2156197) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Northern Utah Surgicenter, LLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Northern Utah Surgicenter, Llc · NPI 1750263745
Ambulatory Surgical organization in Logan, Utah. Organization record, active in the CMS NPPES registry since July 22, 2025.
## Identity
- **NPI:** 1750263745 (Entity type: Organization)
- **Enumerated:** July 22, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Also known as:** Advanced Surgery Center of Northern Utah (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Mcknight, VP/CFO
## Practice location
- **Address:** 55 E GOLF COURSE RD, Logan, UT 84321-0001
- **Phone:** (435) 787-7190 · **Fax:** (435) 787-7197
## Record status
- **NPPES last updated:** September 10, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1750263745) · Data from the CMS NPPES public registry.