Western Urological Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WESTERN UROLOGICAL CLINIC PC

Practice address

4252 Highland Dr
#200
SLC, UT 84124-2670

Phone

(801) 993-1800

Fax

(801) 993-1699

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lane C Childs, M.D.

Title

Vice President

Phone

(801) 993-1800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386699676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 HIGHLAND DR",
            "address_2": "#200",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841242670",
            "telephone_number": "801-993-1800",
            "fax_number": "801-993-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 HIGHLAND DR",
            "address_2": "#200",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841242670",
            "telephone_number": "801-993-1800",
            "fax_number": "801-993-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN UROLOGICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "801-993-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sami K Weese, APRN
• Andria Lecor Welte
• Taylor Jane Welty
• Josie West
• Lawann Nicole Westbrook
• Vicky Westmoreland, CMHC
• Abigail Lauren Westover
• Sharla Whitaker
• Bret Whiting
• Heather Leigh Whitley, CPM, LDEM

• Specialist in SLC, UT
• Providers in SLC, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.