Organization Active NPI

Nomi Health Inc.

  • Clinical Medical Laboratory
  • Salt Lake City, UT
National Provider Identifier
1386240786
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NOMI HEALTH INC.
Practice address
1141 E 3900 S Ste 150
Salt Lake City, UT 84124-1268
Phone
(385) 375-6523
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Alexandra Gaston
Title
Senior RCM Analyst
Phone
(855) 601-1900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1141 E 3900 S Ste 150
Salt Lake City, UT 84124-1268

Mailing address

898 N 1200 W
Orem, UT 84057-3509
Phone (385) 375-6419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210606000000 UT Part B Supplier - Independent Clinical Laboratory 7416364534 Practice locations: Salt Lake City, UT
O20210607000894 UT Part B Supplier - Mass Immunization (Roster Biller Only) 7416364534 Practice locations: Orem, UT
O20230919000677 FL Part B Supplier - Independent Clinical Laboratory 7416364534 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

1126 Caribbean Way
Miami, FL 33132
Phone (855) 599-0012

7000 NW 46th St
Miami, FL 33166
Phone (385) 375-6419

1350 Sandhill Rd
Orem, UT 84058
Phone (385) 375-6419

1141 E 3900 S
Ste 150
Salt Lake City, UT 84124
Phone (385) 375-6419

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Patient'S Choice HHCMiami, FL, CCN 108379 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Sep 26, 2022
Sep 26, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1386240786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573509",
            "telephone_number": "385-375-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E 3900 S STE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241268",
            "telephone_number": "385-375-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMI HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "SENIOR RCM ANALYST",
        "authorized_official_telephone_number": "855-601-1900"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.