Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FORM SURGERY CENTER LLC
Active OrganizationFORM SURGERY CENTER LLC is a Ambulatory Surgical Center organization located in SALT LAKE CITY, Utah. NPI 1457863912 is currently active in the NPPES registry. Verify at CMS.
Ambulatory Surgical Center · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1457863912
- Provider Type
- Organization
- NPI Issued
- Oct 24, 2017 (8.8255119027281 yrs)
- Last Updated
- Apr 5, 2021
- License
-
4972C (UT)
Practice Information
- Address
-
6322 S 3000 E STE 170SALT LAKE CITY, UT, 841217290Browse UT providers · Browse ZIP 84121
- Phone
- 8015133223
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
Other Ambulatory Surgical Center Organizations in SALT LAKE CITY, UT
| Name | NPI |
|---|---|
| SALT LAKE SURGICAL CENTER LP | 1487616793 |
| ST MARKS AMBULATORY SURGERY ASSOCIATES LP | 1174587984 |
| PHYSICIANS SURGERY CENTER, LLC | 1356395586 |
| SALT LAKE ENDOSCOPY CENTER | 1609896216 |
| WASATCH ENDOSCOPY CENTER LTD | 1881701290 |
| THE SURGICARE CENTER OF UTAH | 1366550170 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.