| NPI | 1679948756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUSSELL BROWN Executive Director 801-557-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 46D2058259) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |