NPIMap

Organization Active NPI

Metrodora ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • West Valley City, UT
National Provider Identifier
1043955602
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
METRODORA ASC, LLC
Practice address
3535 S Market St
West Valley City, UT 84119-3617
Phone
(801) 907-1796
NPI assigned
Apr 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2023

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

Authorized official

Name
Dr. Laura A. Pace, MD, PHD
Title
Ceo, Metrodora Institute
Phone
(385) 430-1431

Specialties & licenses 1

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

Addresses

Primary practice location

3535 S Market St
West Valley City, UT 84119-3617

Mailing address

3535 S Market St
West Valley City, UT 84119-3617
Phone (203) 858-8679

Other names 1

  • Metrodora CAI Doing business as

National Provider Directory

National Provider Directory

Locations

3535 S Market St
Ste 800
West Valley City, UT 84119
Phone (385) 430-1430

3535 S Market St
West Valley City, UT 84119
Phone (385) 430-1430

3535 S Market St
Ste 900
West Valley City, UT 84119
Phone (385) 430-1430

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673049600000",
    "number": "1043955602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S MARKET ST",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193617",
            "telephone_number": "203-858-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S MARKET ST",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193617",
            "telephone_number": "801-907-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRODORA ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO, METRODORA INSTITUTE",
        "authorized_official_telephone_number": "385-430-1431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrodora CAI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; 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.