SURGERY CENTER AT GROVE CREEK, LLC
NPI 1962007757
Clinic/Center - Ambulatory Surgical in Pleasant Grove, UT
About Surgery Center At Grove Creek, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SURGERY CENTER AT GROVE CREEK, LLC (NPI 1962007757) is a healthcare organization registered as an ambulatory surgical in Pleasant Grove, Utah and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Brian Shelton, Board Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 46D2118592
Surgery Center At Grove Creek · Pleasant Grove, UTAreas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLEASANT GROVE, UT 84062
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 Surgery Center At Grove Creek, LLC's NPI number?
The NPI number for Surgery Center At Grove Creek, LLC is 1962007757. It was assigned to this organization in the NPPES registry on December 1, 2020.
Where is Surgery Center At Grove Creek, LLC located?
Surgery Center At Grove Creek, LLC is located at 2168 W Grove Pkwy Ste 101, Pleasant Grove, UT 84062. The listed phone number is (801) 772-5050.
What is Surgery Center At Grove Creek, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Surgery Center At Grove Creek, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2118592) is associated with this NPI, valid through September 11, 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 Surgery Center At Grove Creek, LLC was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.