NPI | 1639560154 |
---|---|
Other Name | ELYSIUM LABORATORY SERVICE |
Entity Type | Organization |
Authorized Contact | MICHAEL HARRIS Medical Director 801-465-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: UT 46D2091373) |
Enumeration Date | 2015-02-06 |
Last Update Date | 2015-03-01 |