NPI | 1407004393 |
---|---|
Doing Business As | HERITAGE PLACE |
Entity Type | Organization |
Authorized Contact | GARY TAYLOR President 801-966-4286 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 46D1005751) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2008-09-04 |