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NPI 1639826043 · Pain Clinic/Center · South Salt Lake, UT
Provider details
- NPI number
- 1639826043
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leigh-Andrew Sampson-Seitz, Owner(385) 212-4358
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
3269 S Main St Ste 220
South Salt Lake, UT 84115-3767
Phone: (385) 212-4358
Street-level locationGet directions
Mailing address
358 S 700 East
Salt Lake City, UT 84102-1446
Registry dates
- Enumerated
- 2022-03-05
- Last updated
- 2022-03-05
- Certified
- 2021-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.