OrganizationActive
Utah Injury Clinic, LLC
NPI 1669611661 · Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1669611661
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Praline Corporation
- Organization subpart
- Yes
- Authorized official
- Tom Grant, Manager(801) 747-2886
- License
- 6715760-1202 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4700 S 900 E Ste 41g
Salt Lake City, UT 84117-4938
Phone: (801) 747-2886
Fax: (801) 716-3532
Street-level locationGet directions
Mailing address
4700 S 900 E Ste 41g
Salt Lake City, UT 84117-4938
Registry dates
- Enumerated
- 2009-02-13
- Last updated
- 2012-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.