| NPI | 1093945537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED L SZYMANSKI President 801-225-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 6590867-1205) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: UT 6590867-1205) |
| 207ZD0900X Pathology, Dermatopathology (Licence: UT 6590867-1205) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: UT 6590867-1205) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2021-05-14 |