NPIMap

Organization Active NPI

Confederated Tribes of the Goshute Reservation

  • Clinical Medical Laboratory
  • Salt Lake City, UT
National Provider Identifier
1265892012
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
9453799-8906 Issued in UT
Legal business name
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Practice address
660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Phone
(801) 359-2256
Fax
(801) 364-4392
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Linda Thatcher
Title
Billing
Phone
(801) 359-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 9453799-8906 UT Primary

Addresses

Primary practice location

660 S 200 E Ste 250
Salt Lake City, UT 84111-3846

Mailing address

HC 61 Box 6104
Ibapah, UT 84034-6003
Phone (801) 359-2256

Other names 1

  • Sacred Circle Health Care Doing business as

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
46D2084337Sacred Circle Healthcare Clinic660 S 200 E, Ste 250, Salt Lake City, UT 84111ComplianceFeb 7, 2028
46D2322072Sacred Circle Healthcare Waiver660 S 200 E, Ste 100, Salt Lake City, UT 84111Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes of the Goshute Indian Reservation14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1265892012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 6104",
            "city": "IBAPAH",
            "state": "UT",
            "postal_code": "840346003",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 200 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113846",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "801-359-2256"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "9453799-8906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Circle Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.