To ascertain the characteristics of mineral assemblages associated with uranium mineralization and enrichment mechanism of deep sandstone-type uranium deposits, drill-core logging, petrography and mineralogy, scanning electron microscopy (SEM), electronic probe micro analysis (EPMA), whole-rock analysis, X-ray diffraction (XRD) were used to identify the types, redox state of uranium minerals, and typical uranium-related mineral assemblages in the sandstone of the Cretaceous Luohe Formation, southwestern Ordos Basin. The results showed that the clastic grains in the gray and red uranium-bearing sandstone have undergone relatively strong alteration, while alteration of the clastic grains in the gray and red calcareous sandstone is relatively weak. The alteration minerals mainly include pyrite, anatase, kaolinite, chlorite, calcite, apatite, and feldspar. Uranium contents is highly consistent with S, P2O5, CaO, and FeO concentrations in the vertical direction and has a weak correlation with the total organic carbon. Uranium ores are mainly pitchblende and titanium-bearing uranium minerals. The Luohe Formation experienced transformation from a weak alkaline oxidation environment during the diagenetic stage to a weak acid reduction conditions in the early mineralization stage and then to a weak alkaline reduction environment in the middle–late mineralization stages. Typical alteration minerals associated with uranium ores include two types, which are formed in acid reduction and alkaline reduction redox stages, respectively. The alteration minerals related to acidic fluid process are pyrite, anatase, kaolinite, and apatite; those related to alkaline fluid mechanism consist of calcite and chlorite. Deep-seated uranium mineralization was formed by both acidic and alkaline reducing fluids, being dominated by acidic fluid conditions. In-depth investigation of the alteration and uranium ore minerals are of great scientific value to infer the fluid type of mineralization stage and reveal the enrichment mechanism of uranium deposits.