| NPI | 1700546504 | 
|---|---|
| Doing Business As | VACC LABORATORIES | 
| Entity Type | Organization | 
| Authorized Contact | CHARLES E CORNWELL Technical Supervisor 801-808-1191  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory | 
| Enumeration Date | 2021-12-21 | 
| Last Update Date | 2021-12-21 |