SOUTH SUMMIT PEDIATRICS. LLC
NPI 1760490122
Legal Medicine in Draper, UT

Q: What is South Summit Pediatrics. LLC's NPI number?

The NPI number for South Summit Pediatrics. LLC is 1760490122. It was assigned to this organization in the NPPES registry on August 3, 2006.

Q: What is South Summit Pediatrics. LLC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since August 03, 2006CLIA 46D1073164 · Waiver

267 E TRAVERSEPOINT DRIVE, DRAPER, UT 84020(801) 567-9780(801) 567-9826 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Summit Pediatrics. Llc NPPES

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

SOUTH SUMMIT PEDIATRICS. LLC (NPI 1760490122) is a healthcare organization registered as a legal medicine in Draper, Utah and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Paul S Lei, Owner, as its authorized official.

NPPES Registry Identity

NPI1760490122

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameSOUTH SUMMIT PEDIATRICS. LLC

Location Address267 E TRAVERSEPOINT DRIVEDraper, UT 84020

Mailing Address267 E Traversepoint DriveDraper, UT 84020 · (801) 567-9780 · Fax (801) 567-9826

Phone(801) 567-9780

Fax(801) 567-9826

Organization SubpartNo

Authorized OfficialPaul S LeiOwner · (801) 567-9780

Enumeration DateAugust 3, 2006

Last NPPES UpdateNovember 13, 2007

✔ NPI 1760490122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in UT · 363788-1205

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

267 E TRAVERSEPOINT DRIVE, Draper, UT 84020

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Other Identifiers 1

Medicare PIN1760490122UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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 46D1073164

South Summit Pediatrics · Draper, UT

Active · expires Apr 30, 2028

CLIA Number46D1073164

Laboratory TypePhysician Office

Certificate Effective DateMay 1, 2026

Certificate Expiration DateApril 30, 2028

Laboratory DirectorPaul S. Lei MD

Laboratory Phone(801) 553-8300

Laboratory LocationSouth Summit Pediatrics267 E Traverse Point Dr, Draper, UT 84020

CLIA data matches this NPI record on: Name

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

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 South Summit Pediatrics. LLC's NPI number?

The NPI number for South Summit Pediatrics. LLC is 1760490122. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is South Summit Pediatrics. LLC located?

South Summit Pediatrics. LLC is located at 267 E Traversepoint Drive, Draper, UT 84020. The listed phone number is (801) 567-9780.

What is South Summit Pediatrics. LLC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Does South Summit Pediatrics. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1073164) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Summit Pediatrics. LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list South Summit Pediatrics. LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Summit Pediatrics. LLC was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.