Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Surgical Suites LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1104301613

Logan Surgical Suites LLC is an Ambulatory Surgical Clinic/Center in Logan, Utah. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 E Golf Course Rd
Logan, UT 84321-0001
Phone: (435) 760-3734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1104301613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marielle Whitlock — Administrator · (435) 760-3734
Other names Advanced Surgery Center Of Northern Utah; Advanced Surgery Center Of Northern Utah
NPI enumeratedOctober 1, 2018
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address55 East Golf Course Road, Logan, UT 84321-0001

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