GRANGER MEDICAL SPECIALISTS, LLC
NPI 1497441539
Clinic/Center - Multi-Specialty in Salt Lake City, UT

NPI Status: Active since April 12, 2023

Contact Information

6322 S 3000 E STE 100
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 352-5900

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 46D2316503
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-06-2027

About GRANGER MEDICAL SPECIALISTS, LLC

This page provides the complete NPI Profile along with additional information for Granger Medical Specialists, Llc, a provider established in Salt Lake City, Utah operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1497441539 assigned on April 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mary Jane Pennington Md (President/ceo)

NPI
1497441539
Provider Name
GRANGER MEDICAL SPECIALISTS, LLC
Entity Type
Organization
Location Address
6322 S 3000 E STE 100 SALT LAKE CITY, UT 84121
Location Phone
(801) 352-5900
Mailing Address
7181 S CAMPUS VIEW DR STE 200 WEST JORDAN, UT 84084
Mailing Phone
(801) 965-3505
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-12-2023
Last Update Date
04-12-2023
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

MARY JANE PENNINGTON MD

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(801) 965-3600

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
46D2316503
Facility Type
Physician Office
Certificate Effective Date
January 07, 2025
Certificate Expiration Date
January 06, 2027
Laboratory Director
GEETA NAGPAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Granger Medical Specialists, Llc 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 GRANGER MEDICAL SPECIALISTS, LLC

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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.
1497441539
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418784256
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 8 + 4 + 2 + 5 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1497441539 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992797492DR. GREGORY S ANDERSON DPM
Individual
Podiatrist (Foot & Ankle Surgery)6322 S 3000 E STE 100
SALT LAKE CITY, UT 84121
(801) 352-5900
1144582354 DANIEL BRADLEY GIBBS MD
Individual
Orthopaedic Surgery6322 S 3000 E STE 100
SALT LAKE CITY, UT 84121
(801) 965-3600
1538557269 WHITNEY LAUREN SCHROEDER PA-C
Individual
Physician Assistant (Surgical)6322 S 3000 E STE 100
SALT LAKE CITY, UT 84121
(801) 965-3600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497441539, enumerated in the NPI registry as an "organization" on April 12, 2023

The provider is located at 6322 S 3000 E Ste 100 Salt Lake City, Ut 84121 and the phone number is (801) 352-5900

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider's CLIA number is 46D2316503 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 April 12, 2023. 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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