| NPI | 1093044604 |
|---|---|
| Doing Business As | CENTRAL UTAH PATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | LEON TAN QUE President 818-924-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 46d0992374) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2010-08-10 |