Active NPI
Valleylab
- Clinical Medical Laboratory
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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 INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Sanford
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
- NPI 1417913930
Member Of
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.
-
- Addiction (Substance Use Disorder) Counselor
- Salt Lake City, UT
- NPI 1407150758
-
- Community Health Worker
- Salt Lake City, UT
- NPI 1851176978
-
- Community Health Worker
- Salt Lake City, UT
- NPI 1497457824
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.