| NPI | 1568494060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHIT BARAN SARKER Pathologist 801-582-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: UT 5678120-1205) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: UT 5678120-1205) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |