SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC (NPI# 1003441858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003441858 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC |
| Practice Address |
2051 E Red Hills Pkwy Ste 7 St George UT 84770-8671 |
| Mailing Address |
652 S Medical Center Dr Ste 110 St George UT 84790-7077 |
| Practice Telephone | 4357032930 |
| Practice Fax Number | 4357032933 |
| Mailing Telephone | 4356562424 |
| Mailing Fax Number | 4359867092 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | DEREK LEE FRIEDEN (MANAGING PARTNER) |
| Authorized Official Telephone | 4356562424 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Physicians Laboratory Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320644 | Southwest Spine and Pain Care Specialists, LLC | Chiropractor | 301 N 200 E Ste 2a, St George, UT 84770-3040 | 2020-03-11 |
| Street Address |
2051 E RED HILLS PKWY STE 7 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-8671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1275161671 | Soft Cell L-form Laboratories LLC | Clinical Medical Laboratory | 4616 S Beehive Dr Apt 3, St George, UT 84790-1806 | 2020-03-31 |
| 1336217793 | Javier Noriega | Clinical Medical Laboratory | 1380 E Medical Center Dr # 109, St George, UT 84790-2123 | 2006-12-01 |
| 1730798372 | Ihc Health Services Inc | Clinical Medical Laboratory | 600 S Medical Center Dr, St George, UT 84790-8723 | 2020-07-29 |
| 1669822276 | Red Rock Labratory | Clinical Medical Laboratory | 120 W 1470 S, Suite 200, St George, UT 84770-6798 | 2016-06-14 |
| 1205814894 | Laboratory Corporation of America | Clinical Medical Laboratory | 1490 E Foremaster Dr, #130, St George, UT 84790-4488 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019271 | Quest Diagnostics Clinical Laboratories Inc. | Clinical Medical Laboratory | 942 Chambers St Ste 15, South Ogden, UT 84403-5131 | 2020-10-01 |
| 1679187967 | Quansys Biosciences, Inc. | Clinical Medical Laboratory | 365 N 600 W, Logan, UT 84321-3741 | 2020-09-03 |
| 1376152983 | Sports Drug Testing Laboratory, LLC | Clinical Medical Laboratory | 10644 S Jordan Gtwy Ste 200, South Jordan, UT 84095-4036 | 2020-07-29 |
| 1063033249 | Arches Research, Inc. | Clinical Medical Laboratory | 1960 S 4250 W, Salt Lake City, UT 84104-4836 | 2020-04-29 |
| 1750915658 | Idbydna Inc. | Clinical Medical Laboratory | 675 S Arapeen Dr Ste 301, Salt Lake City, UT 84108-1223 | 2020-02-28 |
| 1700420361 | Renalytix Ai, Inc. | Clinical Medical Laboratory | 421 S Wakara Way Ste 309, Salt Lake City, UT 84108-3549 | 2019-11-06 |
| 1205481363 | Reveal Laboratories LLC | Clinical Medical Laboratory | 7370 S Creek Rd Ste 204, Sandy, UT 84093-6113 | 2019-08-06 |
| 1922666049 | Dynasty Diagnostics | Clinical Medical Laboratory | 985 W State St Ste 1, Hurricane, UT 84737-2072 | 2019-06-04 |
| 1205491735 | Foundation for Family Life | Clinical Medical Laboratory | 11978 S Redwood Rd Ste C, Riverton, UT 84065-7403 | 2019-05-09 |
| 1154884575 | Heredilab, Inc | Clinical Medical Laboratory | 1060 E 100 S Ste 109, Salt Lake City, UT 84102-4303 | 2019-04-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.