# WASATCH VASCULAR CENTER ASC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184245169
- **Authorized official:** GREGG MILLER MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (717) 515-4048

## Contact information

- **Practice address:** 3702 S STATE ST, SALT LAKE CITY, UT 84115-5078
- **Practice address phone:** (801) 281-0027
- **Mailing address:** 40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
- **Mailing address phone:** (610) 644-8900
- **Mailing address fax:** (484) 924-0053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2020
- **Last updated:** 03/13/2025