Active NPI
Granite Peaks Pathology P.C.
- Anatomic Pathology & Clinical Pathology Physician
- Sandy, UT
National Provider Identifier
1124277496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- GRANITE PEAKS PATHOLOGY P.C.
- Practice address
- 1393 E Sego Lily Dr
Sandy, UT 84092-4350 - Phone
- (801) 619-9000
- Fax
- (801) 619-9001
- NPI assigned
- Sep 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Kyle Barnett, M.D.
- Title
- President
- Phone
- (801) 619-9000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary | ||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X |
Addresses
Primary practice location
1393 E Sego Lily Dr
Sandy, UT 84092-4350
Mailing address
1393 E Sego Lily Dr
Sandy, UT 84092-4350
Phone (801) 619-9000
Other names 1
- Granite Peaks Pathology
National Provider Directory
National Provider DirectoryLocations
9829 S 1300 E
Sandy, UT 84094
Phone (801) 619-9000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Sandy, UT
- NPI 1972760106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474934400000",
"number": "1124277496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1393 E SEGO LILY DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840924350",
"telephone_number": "801-619-9000",
"fax_number": "801-619-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1393 E SEGO LILY DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840924350",
"telephone_number": "801-619-9000",
"fax_number": "801-619-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANITE PEAKS PATHOLOGY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2016-09-27",
"status": "A",
"authorized_official_last_name": "BARNETT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-619-9000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Granite Peaks Pathology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.