Organization Active NPI

Layton Surgery Center LLC

Doing business as Intermountain Health Surgery Center - Layton

  • Ambulatory Surgical Clinic/Center
  • Layton, UT
National Provider Identifier
1336900646
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on May 4, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LaytonCCN 46C0001086
Medicare certification status
ActiveFrom the Provider of Services file

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
46D2302167Layton Surgery Center, LLC265 East Layton Parkway, Layton, UT 84041Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.