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

Dr. Michael Prochaska, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1609249101

Dr. Michael Prochaska, MD is a Diagnostic Radiology in Salt Lake City, Utah. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2011, 15 years ago. Practices with Lawrence Clinical Laboratory Chartered, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
15
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
UT
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2000 Circle Of Hope Dr
Salt Lake City, UT 84112-5550
Phone: (801) 587-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 9404572-1205 (UT)

Record details

NPI number1609249101
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESMay 6, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2011 (15 years in practice)
Group practice Lawrence Clinical Laboratory Chartered — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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