PHYSICIAN LABORATORY SERVICES
NPI 1144509985
Anesthesiology - Pain Medicine in Saint George, UT

NPI Status: Active since August 10, 2011

Contact Information

2891 E MALL DRIVE, STE. 101
SAINT GEORGE, UT
ZIP 84791
Phone: (435) 656-2424
Fax: (435) 656-2828

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • Accepts Insurance
  • CLIA Number: 46D2309849
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-21-2026

About PHYSICIAN LABORATORY SERVICES

This page provides the complete NPI Profile along with additional information for Physician Laboratory Services, a provider established in Saint George, Utah operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1144509985 assigned on August 2011. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Physician Laboratory Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Physician Laboratory Services. The authorized official of this NPI record is Ashley Pfatenhauer (Credentialing Coordinator)

NPI
1144509985
Provider Legal Name
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC
Other Organization Name
PHYSICIAN LABORATORY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2891 E MALL DRIVE, STE. 101 SAINT GEORGE, UT 84791
Location Phone
(435) 656-2424
Location Fax
(435) 656-2828
Mailing Address
PO BOX 912042 SAINT GEORGE, UT 84791
Mailing Phone
(435) 656-2424
Mailing Fax
(435) 656-2828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-10-2011
Last Update Date
05-01-2023
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Location Map

Secondary Locations

  • 2891 E Mall Drive, Ste 200
    St. George, UT 84790
    (435) 688-1665
  • 652 S Medical Center Dr Ste 410
    St George, UT 84790
    (435) 656-2424

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 
2207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

 
3207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
4207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
52084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ASHLEY PFATENHAUER

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(435) 215-0230

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2309849
Facility Type
Physician Office
Certificate Effective Date
August 22, 2024
Certificate Expiration Date
August 21, 2026
Laboratory Director
ERIC FREEMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Physician Laboratory Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PHYSICIAN LABORATORY SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144509985
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218410018916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 0 + 1 + 8 + 9 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1144509985 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144509985, enumerated in the NPI registry as an "organization" on August 10, 2011

The provider is located at 2891 E Mall Drive, Ste. 101 Saint George, Ut 84791 and the phone number is (435) 656-2424

This medical organization specializes in Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

The provider might be accepting Accepts: Aetna CVS Health, Molina Healthcare and University. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 46D2309849 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 10, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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