Active NPI
Leavitt Medical, Inc.
- Anatomic Pathology & Clinical Pathology Physician
- Lehi, UT
National Provider Identifier
1760281588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- LEAVITT MEDICAL, INC.
- Doing business as
- Lumea
- Practice address
- 2889 W Ashton Blvd Ste 300
Lehi, UT 84043-4968 - Phone
- (801) 960-3658
- Fax
- (844) 266-9834
- NPI assigned
- Mar 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyron Nielsen
- Title
- Operations Manager
- Phone
- (801) 960-3658
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
2889 W Ashton Blvd Ste 300
Lehi, UT 84043-4968
Mailing address
2889 W Ashton Blvd Ste 300
Lehi, UT 84043-4968
Phone (801) 960-3658
Other names 1
- Lumea
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250428002099 | UT | Part B Supplier - Independent Clinical Laboratory | 4789100330 | Practice locations: Lehi, UT |
National Provider Directory
National Provider DirectoryLocations
2889 W Ashton Blvd
Lehi, UT 84048
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Little Rock, AR
- NPI 1184810590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1760281588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2889 W ASHTON BLVD STE 300",
"city": "LEHI",
"state": "UT",
"postal_code": "840434968",
"telephone_number": "801-960-3658",
"fax_number": "844-266-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2889 W ASHTON BLVD STE 300",
"city": "LEHI",
"state": "UT",
"postal_code": "840434968",
"telephone_number": "801-960-3658",
"fax_number": "844-266-9834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAVITT MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "KYRON",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "801-960-3658"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lumea",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.