| NPI | 1083702450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT TREACY Owner/CEO 801-619-6793 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 56814) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-07-16 |