| NPI | 1760679443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE BERRETT Office Manager 435-734-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 46D0660903) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: UT 46D0660903) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2018-03-29 |