Organization Active NPI

Innovation Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Layton, UT
National Provider Identifier
1003544198
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INNOVATION SURGERY CENTER LLC
Practice address
836 S Angel St Ste 103
Layton, UT 84041-3687
Phone
(303) 332-4170
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Cox
Title
Administrator
Phone
(303) 332-4170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

836 S Angel St Ste 103
Layton, UT 84041-3687

Mailing address

2201 FM 1339
Kingsbury, TX 78638-1112
Phone (303) 332-4170

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lisa@innovationsc.com Direct

National Provider Directory

National Provider Directory

Locations

836 S Angel St
Ste 103
Layton, UT 84041
Phone (303) 332-4170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1003544198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 FM 1339",
            "city": "KINGSBURY",
            "state": "TX",
            "postal_code": "786381112",
            "telephone_number": "303-332-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S ANGEL ST STE 103",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413687",
            "telephone_number": "303-332-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-10-17",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-332-4170"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lisa@innovationsc.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "836 S Angel St Ste 103",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840413687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.