Organization Active NPI

Valleylab

  • Clinical Medical Laboratory
  • Salt Lake City, UT
National Provider Identifier
1760965719
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VALLEYLAB
Practice address
4460 S Highland Dr Ste 110
Salt Lake City, UT 84124-3550
Phone
(801) 273-6331
NPI assigned
Sep 14, 2018
Organization subpart
Yes
Parent organization
VALLEY BEHAVIORAL HEALTH INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Jared SanfordNPI 1407150758
Title
Chief Executive Officer
Phone
(360) 949-9588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4460 S Highland Dr Ste 110
Salt Lake City, UT 84124-3550

Mailing address

PO Box 572070
Murray, UT 84157-2070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200616000449 UT Part B Supplier - Independent Clinical Laboratory 7517293889 Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory
Part of
North Valley Clinic-CMH

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4460 S Highland Dr
Ste 310
Salt Lake City, UT 84124
Phone (801) 273-6331

4460 S Highland Dr
Ste 110
Salt Lake City, UT 84124
Phone (801) 273-1085

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1760965719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572070",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841572070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243550",
            "telephone_number": "801-273-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYLAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY BEHAVIORAL HEALTH INCORPORATED",
        "enumeration_date": "2018-09-14",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "360-949-9588"
    },
    "taxonomies": [
        {
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.