NPIMap

Organization Active NPI

Physicians Advanced Integrated Network, LLC

  • Multi-Specialty Clinic/Center
  • West Valley City, UT
National Provider Identifier
1184873960
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
114566-1202 Issued in UT
Legal business name
PHYSICIANS ADVANCED INTEGRATED NETWORK, LLC
Practice address
3536 S 5600 W
Suite 3
West Valley City, UT 84120-2788
Phone
(801) 955-1555
Fax
(801) 955-1552
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Dr. Mark A Snow, D.C.NPI 1508822917
Title
Manager
Phone
(801) 955-1555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 114566-1202 UT
Multi-Specialty Clinic/Center 261QM1300X 114566-1202 UT Primary

Addresses

Primary practice location

3536 S 5600 W
Suite 3
West Valley City, UT 84120-2788

Mailing address

3536 S 5600 W
Suite 3
West Valley City, UT 84120-2788
Phone (801) 955-1555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1184873960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 S 5600 W",
            "address_2": "SUITE 3",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202788",
            "telephone_number": "801-955-1555",
            "fax_number": "801-955-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 S 5600 W",
            "address_2": "SUITE 3",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202788",
            "telephone_number": "801-955-1555",
            "fax_number": "801-955-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS ADVANCED INTEGRATED NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-955-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": "114566-1202",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "UT",
            "license": "114566-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 1, 2009; 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.