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CENTRAL UTAH SURGICAL CENTER L.L.C.
NPI 1962463950
Clinic/Center - Ambulatory Surgical in Provo, UT

Active since March 29, 2006CLIA 46D0979537 · Waiver
1067 N 500 W, PROVO, UT 84604(801) 374-0354(801) 344-8929 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Utah Surgical Center L.l.c. NPPES

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

CENTRAL UTAH SURGICAL CENTER L.L.C. (NPI 1962463950) is a healthcare organization registered as an ambulatory surgical in Provo, Utah and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Jill Andrews, Administrator, as its authorized official.

NPPES Registry Identity

NPI1962463950
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTRAL UTAH SURGICAL CENTER L.L.C.
Location Address1067 N 500 WProvo, UT 84604-3305
Mailing AddressPo Box 271472Salt Lake City, UT 84127-1472 · (801) 374-0354 · Fax (801) 344-8929
Phone(801) 374-0354
Fax(801) 344-8929
Organization SubpartNo
Authorized OfficialJill AndrewsAdministrator · (801) 374-0354
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1962463950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in UT · 2004-ASF-725
1067 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Other Identifiers 2

Other87028102805001UT · Bcbs
Medicaid=========003UT

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 46D0979537

Central Utah Surgical Center · Orem, UT
Active · expires Oct 24, 2026
CLIA Number46D0979537
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorNicholas Pintar
Laboratory Phone(801) 374-0354
Laboratory LocationCentral Utah Surgical Center640 West 800 North, Orem, UT 84057
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 9

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

SHELBY LYN BECK
Nurse Anesthetist, Certified Registered
1067 N 500 W
PROVO, UT 84604
Utah County (801) 374-0354
DIRK BRADLEY BAHORAVITCH MSN, CRNA
Nurse Anesthetist, Certified Registered
1067 N 500 W
PROVO, UT 84604
Utah County (801) 374-0354
PATRICK READ VANWAGONER CRNA
Nurse Anesthetist, Certified Registered
1067 N 500 W
PROVO, UT 84604
Utah County (801) 375-8049
DAN EUGENE THOMAS MD
Anesthesiology
1067 N 500 W
PROVO, UT 84604
Utah County (801) 375-8049
DAVID B FARNWORTH CRNA
Nurse Anesthetist, Certified Registered
1067 N 500 W
PROVO, UT 84604
Utah County (801) 375-8049
CENTRAL UTAH ANESTHESIA LC
Anesthesiology
1067 N 500 W
PROVO, UT 84604
Utah County (801) 356-6002
JEFFREY G PRIEST MD
Anesthesiology
1067 N 500 W
PROVO, UT 84604
Utah County (801) 375-8049
DR. WILLIAM E STRONG MD
Anesthesiology
1067 N 500 W
PROVO, UT 84604
Utah County (801) 374-0354

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 Central Utah Surgical Center L.L.C.'s NPI number?

The NPI number for Central Utah Surgical Center L.L.C. is 1962463950. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Central Utah Surgical Center L.L.C. located?

Central Utah Surgical Center L.L.C. is located at 1067 N 500 W, Provo, UT 84604. The listed phone number is (801) 374-0354.

What is Central Utah Surgical Center L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Central Utah Surgical Center L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0979537) is associated with this NPI, valid through October 24, 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 Central Utah Surgical Center L.L.C. was last updated on April 20, 2008. 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.