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PREMISE HEALTH OF UTAH MEDICAL PC
NPI 1790192235
Clinic/Center - Multi-Specialty in Salt Lake City, UT

Active since July 16, 2014CLIA 46D2077812 · Waiver
111 S MAIN ST, SALT LAKE CITY, UT 84111(801) 884-1801(801) 884-1807 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 25, 2025, Aug 15, 2022, Jul 14, 2022 and 1 more (4 updates tracked since 2021).

About Premise Health Of Utah Medical Pc NPPES

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

PREMISE HEALTH OF UTAH MEDICAL PC (NPI 1790192235), doing business as Goldman Sachs Health Center, is a healthcare organization registered as a multi-specialty in Salt Lake City, Utah and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1790192235
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF UTAH MEDICAL PC
Location Address111 S MAIN STSalt Lake City, UT 84111-2176
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(801) 884-1801
Fax(801) 884-1807
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJuly 16, 2014
Last NPPES UpdateFebruary 17, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1790192235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
111 S MAIN ST, Salt Lake City, UT 84111
Open in Google Maps ↗

Other Names 1

Doing Business AsGoldman Sachs Health Center

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 46D2077812

Premise Health Of Utah Medical, PC · Salt Lake City, UT
Active · expires May 14, 2028
CLIA Number46D2077812
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorKim Perschon
Laboratory Phone(801) 884-1801
Laboratory LocationPremise Health Of Utah Medical, PC111 S Main St, 4th Floor, Salt Lake City, UT 84111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

HEATHER HODA RN
Registered Nurse
111 S MAIN ST
SALT LAKE CITY, UT 84111
Salt Lake County (919) 260-1968
MRS. NADINE M MCCALL NP
Nurse Practitioner (Family)
111 S MAIN ST
SALT LAKE CITY, UT 84111
Salt Lake County (801) 884-1801

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 Premise Health Of Utah Medical PC's NPI number?

The NPI number for Premise Health Of Utah Medical PC is 1790192235. It was assigned to this organization in the NPPES registry on July 16, 2014.

Where is Premise Health Of Utah Medical PC located?

Premise Health Of Utah Medical PC is located at 111 S Main St, Salt Lake City, UT 84111. The listed phone number is (801) 884-1801.

What is Premise Health Of Utah Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Utah Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2077812) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Utah Medical PC was last updated on February 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.