Organization Active NPI

Utah County Surgicenter, LLC

Doing business as Utah Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Lehi, UT
National Provider Identifier
1174342463
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UTAH COUNTY SURGICENTER, LLC
Doing business as
Utah Endoscopy Center
Practice address
3300 North 1200 West
Suite 100
Lehi, UT 84043
Phone
(999) 999-9999
NPI assigned
Oct 4, 2024
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

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

Addresses

Primary practice location

3300 North 1200 West
Suite 100
Lehi, UT 84043

Mailing address

3300 N 1200 W Ste 100
Lehi, UT 84043-7809

Other names 1

  • Utah Endoscopy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423000332 UT Part B Supplier - Ambulatory Surgical Center 6406371491 Practice locations: Lehi, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174342463. Details of each certification follow.

Ambulatory surgical center certification: CCN 46C0001090

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Utah Endoscopy Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 12, 2025
Last certification
Jun 11, 2025
Facility address
3300 North 1200 West
Lehi, UT 84043

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2320293Utah County Surgicenter LLC3300 North 1200 Street West, Suite 100, Lehi, UT 84043Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

3300 N 1200 W
Ste 100
Lehi, UT 84043
Phone (385) 338-2758

Networks

  • UT PPOPlans: DEVOTED CHOICE GIVEBACK 002 UT (PPO) (H4473-002-000, H4473); DEVOTED CHOICE 001 UT (PPO) (H4473-001-000, H4473)

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1174342463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N 1200 W STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NORTH 1200 WEST",
            "address_2": "SUITE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH COUNTY SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.