| NPI | 1518084953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE R BURT Laboratory Director 801-278-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 46D0865144) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-11-13 |