| NPI | 1447478813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN W FREESTONE Physician 801-225-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 1644641205) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: UT 1644641205) |
| 207ZC0500X Pathology Cytopathology (Licence: UT 1644641205) | |
| 207ZD0900X Pathology Dermatopathology (Licence: UT 1644641205) | |
| 207ZH0000X Pathology Hematology (Licence: UT 1644641205) | |
| 207ZI0100X Pathology Immunopathology (Licence: UT 1644641205) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: UT 1644641205) | |
| 207ZN0500X Pathology Neuropathology (Licence: UT 1644641205) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: UT 1644641205) | |
| 207ZP0104X Pathology Chemical Pathology (Licence: UT 1644641205) | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: UT 1644641205) | |
| 207ZP0213X Pathology Pediatric Pathology (Licence: UT 1644641205) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-05-29 |