NPI | 1790903003 |
---|---|
Doing Business As | LOGAN DIAGNOSTIC SERVICES |
Entity Type | Organization |
Authorized Contact | DAVID R BAKER Owner 435-512-8151 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |