Prime Labs LLC
NPI 1639769953 · Clinical Medical Laboratory · South Jordan, UT
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Labs LLC is a Clinical Medical Laboratory organization in South Jordan, UT (NPI 1639769953).
Provider details
- NPI number
- 1639769953
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Brandon Taylor, Owner(385) 645-7400
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
132,664 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Travel Allowance One Way in Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually TravelledP9603 | 31,977 | $1 |
| Detection Test By Nucleic Acid for Organism, Amplified Probe Technique87798 | 31,253 | $34 |
| Travel Allowance One Way in Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually TravelledP9603 | 10,454 | $1 |
| Detection Test for Candida Species (yeast), Amplified Probe Technique87481 | 8,471 | $34 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 4,065 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count |
Practice location
Mailing address
Additional practice locations (1)
- 11762 S State St Ste 355Draper, UT 84020-7166Phone: (801) 361-4381
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Frequently asked questions
- What is Prime Labs LLC's NPI number?
- Prime Labs LLC's National Provider Identifier (NPI) is 1639769953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Labs LLC?
- Prime Labs LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Prime Labs LLC located?
- Prime Labs LLC's practice location on file with NPPES is 10619 S Jordan Gtwy Ste 125, South Jordan, UT 84095-4073.
- What is Prime Labs LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Labs LLC is (385) 645-7400.
- Does Prime Labs LLC accept Medicare?
- Prime Labs LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Labs LLC?
- The authorized official listed on Prime Labs LLC's NPPES record is Brandon Taylor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Labs LLC's NPI active?
- Yes — Prime Labs LLC's NPI (1639769953) is active in the NPPES registry as of the last update on 2024-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.