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PIONEER COMPREHENSIVE MEDICAL LLC
NPI 1891975595
Family Medicine in Draper, UT

Active since November 09, 2007CLIA 46D0981635 · Waiver
12433 FORT ST, DRAPER, UT 84020(801) 576-1086(801) 576-9796 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Dec 7, 2023 (2 updates tracked since 2023).

About Pioneer Comprehensive Medical Llc NPPES

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

PIONEER COMPREHENSIVE MEDICAL LLC (NPI 1891975595) is a healthcare organization registered as a family medicine in Draper, Utah and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Robin Olsen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891975595
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIONEER COMPREHENSIVE MEDICAL LLC
Location Address12433 FORT STDraper, UT 84020-9363
Mailing Address12433 Fort StDraper, UT 84020-9363 · (801) 576-1086 · Fax (801) 576-9796
Phone(801) 576-1086
Fax(801) 576-9796
Organization SubpartNo
Authorized OfficialRobin OlsenOffice Manager · (801) 576-1086
Enumeration DateNovember 9, 2007
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1891975595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 891818251205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
12433 FORT ST, Draper, UT 84020
Open in Google Maps ↗

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 University of Utah Health Plans.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 46D0981635

Pioneer Comprehensive Medical · Draper, UT
Active · expires Jan 2, 2027
CLIA Number46D0981635
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorJarrod C. Bagley
Laboratory Phone(801) 576-1086
Laboratory LocationPioneer Comprehensive Medical12433 S Fort St, Draper, UT 84020
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 4

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

DR. GARY D OLSEN D.C.
Chiropractor
12433 FORT ST
DRAPER, UT 84020
Salt Lake County (801) 576-1086
BRITTNEY ANDERSEN APRN
Nurse Practitioner
12433 FORT ST
DRAPER, UT 84020
Salt Lake County (801) 576-1086
LEEANN C KLEMETSON FNP
Nurse Practitioner (Family)
12433 FORT ST
DRAPER, UT 84020
Salt Lake County (801) 576-1086
JARROD BAGLEY F.N.P.
Family Medicine
12433 FORT ST
DRAPER, UT 84020
Salt Lake County (801) 576-1086

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 Pioneer Comprehensive Medical LLC's NPI number?

The NPI number for Pioneer Comprehensive Medical LLC is 1891975595. It was assigned to this organization in the NPPES registry on November 9, 2007.

Where is Pioneer Comprehensive Medical LLC located?

Pioneer Comprehensive Medical LLC is located at 12433 Fort St, Draper, UT 84020. The listed phone number is (801) 576-1086.

What is Pioneer Comprehensive Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pioneer Comprehensive Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0981635) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pioneer Comprehensive Medical LLC accept?

Health plans from University of Utah Health Plans list Pioneer Comprehensive Medical 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 Pioneer Comprehensive Medical LLC was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.