| NPI | 1669484473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN B. ROA Laboratory Director 801-584-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 46D0880690) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2024-04-18 |