| NPI | 1194184440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARROD PASSEY Owner 801-822-9281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 9381961-0160) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |