Active NPI
Layton Surgery Center LLC
Doing business as Intermountain Health Surgery Center - Layton
- Ambulatory Surgical Clinic/Center
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- LAYTON SURGERY CENTER LLC
- Doing business as
- Intermountain Health Surgery Center - Layton
- Practice address
- 265 E Layton Pkwy
Layton, UT 84041-3921 - Phone
- (801) 458-4821
- NPI assigned
- Jan 23, 2024
- 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
- Holli Lynn Bracken
- Title
- Regional Preservice Supervisor
- Phone
- (435) 535-6210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
265 E Layton Pkwy
Layton, UT 84041-3921
Mailing address
265 E Layton Pkwy
Layton, UT 84041-3921
Phone (801) 682-1404
Other names 1
- Intermountain Health Surgery Center - Layton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240912002857 | UT | Part B Supplier - Ambulatory Surgical Center | 2567902802 | Practice locations: Layton, UT |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Layton Surgery Center LLC Dba Intermountain Surgery Center Layton
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2302167 | Layton Surgery Center, LLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Snowbasin Emergency Clinic
- Emergency Medicine Physician
- Huntsville, UT
- NPI 1255465142
Member Of
Locations
265 E Layton Pkwy
Layton, UT 84041
Phone (801) 458-4821
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Layton, UT
- NPI 1780660548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1336900646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 E LAYTON PKWY",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413921",
"telephone_number": "801-682-1404",
"fax_number": "801-606-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 E LAYTON PKWY",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413921",
"telephone_number": "801-458-4821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAYTON SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-23",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "BRACKEN",
"authorized_official_first_name": "HOLLI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "REGIONAL PRESERVICE SUPERVISOR",
"authorized_official_telephone_number": "435-535-6210"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain Health Surgery Center - Layton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Layton, UT
- Layton Oral Surgery, P.C.
- Layton Park Memory Care
- Layton Park Memory Care
- Layton Physical Therapy & Sports Medicine Inc
- Layton Smiles Dentistry, LLP (Layton Smiles Dentistry and Orthodontics)
- Layton Visual Center
- Sarah Ann Layton, MOT, OTR/L
- LDS Family Services (LDS Family Services UT Layton Agency)
- Jarin Kent Leavitt, MD
- Madison Leavitt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.