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Export Provider Record NPI 1124277496
Granite Peaks Pathology P.c.
Organization Subpart: NO
Active
NPI Number1124277496
NPI TypeNPI-2 Organization
SpecialtyPathology, Anatomic Pathology & Clinical Pathology
Provider Details
NPI1124277496
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2008-09-11
Last Updated2016-09-27
Authorized OfficialRobert Barnett
PRESIDENT
Phone: 8016199000
Mailing Address1393 E Sego Lily Dr
Sandy, UT 84092-4350
United States
Phone: (801) 619-9000 | Fax: (801) 619-9001
📍 View Map
Primary Practice Address1393 E Sego Lily Dr
Sandy, UT 84092-4350
United States
Phone: (801) 619-9000 | Fax: (801) 619-9001
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207ZP0105X – Pathology, Clinical Pathology/Laboratory Medicine
Yes207ZP0102X – Pathology, Anatomic Pathology & Clinical Pathology
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About NPI 1124277496

Granite Peaks Pathology P.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1124277496. The primary specialty listed is Pathology, Anatomic Pathology & Clinical Pathology. The organization is located in Sandy, UT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-09-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124277496?

NPI 1124277496 belongs to Granite Peaks Pathology P.c., a Pathology, Anatomic Pathology & Clinical Pathology in Sandy, UT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124277496 active?

The current status of NPI 1124277496 in the NPPES registry is Active. The record was last updated on 2016-09-27.

What specialty is NPI 1124277496?

NPI 1124277496 is classified under the taxonomy Pathology, Anatomic Pathology & Clinical Pathology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124277496?

You can verify NPI 1124277496 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124277496?

The primary practice address on file for NPI 1124277496 is 1393 E Sego Lily Dr, Sandy, UT 84092-4350. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124277496 issued?

NPI 1124277496 was first issued (enumerated) on 2008-09-11. The NPPES record was last updated on 2016-09-27.

Practice Location Map

Granite Peaks Pathology P.c. is located at 1393 E Sego Lily Dr, Sandy, UT. Use the map below to find directions or verify the practice location.

📍 1393 E Sego Lily Dr, Sandy, UT 84092-4350  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Granite Peaks Pathology P.c.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162