NPIMap

Organization Active NPI

Valley Obstetrics and Gynecology, P.C.

Doing business as Valley Central Lab

  • Clinical Medical Laboratory
  • Provo, UT
National Provider Identifier
1346718764
Registry record updated Nov 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Doing business as
Valley Central Lab
Practice address
585 N 500 W
Provo, UT 84601-1548
Phone
(801) 374-1801
Fax
(801) 216-8357
NPI assigned
Nov 3, 2018
Last updated
Nov 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2018

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

Authorized official

Name
Adam Rasmussen
Title
Ceo
Phone
(801) 374-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

585 N 500 W
Provo, UT 84601-1548

Mailing address

585 N 500 W
Provo, UT 84601-1548
Phone (801) 374-1801

Other practice location 1

3000 N Triumph Blvd Ste 210
Lehi, UT 84043-4999
Phone (801) 374-1801

Other practice location 2

1228 N Commerce Dr
Saratoga Springs, UT 84045-4713
Phone (801) 374-1801

Other practice location 3

1248 E 90 N Ste 300
American Fork, UT 84003-2956
Phone (801) 374-1801

Other practice location 4

700 W 800 N Ste 200
Orem, UT 84057-6316
Phone (801) 374-1801

Other practice location 5

527 W 400 N Ste 4
Orem, UT 84057-1951
Phone (801) 374-1801

Other names 1

  • Valley Central Lab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000547 UT Part B Supplier - Clinic/Group Practice 5890862726 Receives reassigned benefits from 109 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lehi, UT; American Fork, UT; Vineyard, UT; St George, UT; Springville, UT; Spanish Fork, UT; Saratoga Springs, UT; Provo, UT…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

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
46D0701320Valley Obstetrics & Gynecology, Provo585 North 500 West, Provo, UT 84601ComplianceJul 14, 2027
46D2093719Valley Obstetrics & Gynecology, Lehi Office3000 N Triumph Blvd, Suite 10, Lehi, UT 84043Provider-performed microscopyApr 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Valley Obstetrics Gynclgy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1900 N State St
Ste 105
Provo, UT 84604
Phone (801) 655-5245

118 E Thrive Dr
Ste 200
Saratoga Springs, UT 84045
Phone (801) 756-1577

1228 N Commerce Dr
Saratoga Springs, UT 84045
Phone (801) 374-1801

667 E 500 N
Ste 200
Vineyard, UT 84059
Phone (801) 669-5758

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541203200000",
    "number": "1346718764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Triumph Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434999",
            "country_code": "US",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1228 N Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "UT",
            "postal_code": "840454713",
            "country_code": "US",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 E 90 N Ste 300",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032956",
            "country_code": "US",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W 800 N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840576316",
            "country_code": "US",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 W 400 N Ste 4",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840571951",
            "country_code": "US",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY OBSTETRICS AND GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-03",
        "last_updated": "2018-11-03",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-374-1802"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Central Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; 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.