| NPI | 1518048248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCCLAREN HARVEY GIBLETTE Technical Supervisor Owner 801-352-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 46D0666017) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |