| NPI | 1598205411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MORGAN Billing Agent 801-225-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 8437544-1205) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2018-08-08 |