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

Tooele Urology LLC

Organization Lithotripsy Clinic/Center · NPI 1457599912

Tooele Urology LLC is a Lithotripsy Clinic/Center in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2009.

Licensed in
UT
In the registry since
2009
Specialties on file
2
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

11179 Ivy Creek Cv
South Jordan, UT 84095-2249
Phone: (801) 822-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 7100427-1205 (UT)
Lithotripsy Clinic/Center Taxonomy 261QL0400X · Licence 7100427-1205 (UT)

Record details

NPI number1457599912
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUrologic Surgery Associates
Authorized official Dan Hibbert — Manager · (801) 822-2727
NPI enumeratedJanuary 21, 2009
Last updated in NPPESSeptember 25, 2019
Mailing address11179 Ivy Creek Cv, South Jordan, UT 84095-2249

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