Utah Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UTAH CLINICAL LABORATORY LLC

Practice address

3292 E Deseret Dr Ste 109a-B
Saint George, UT 84790-5633

Phone

(385) 421-2016

Fax

(435) 775-2127

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Jahangeer Ali

Title

Ceo

Phone

(385) 421-2016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1649094897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 E DESERET DR STE 109A-B",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905633",
            "telephone_number": "385-421-2016",
            "fax_number": "435-775-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 E DESERET DR STE 109A-B",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905633",
            "telephone_number": "385-421-2016",
            "fax_number": "435-775-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "JAHANGEER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "385-421-2016"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Saint George, UT
• Providers in Saint George, UT by specialty
• Clinical Medical Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.