| NPI | 1861619678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLES M THORNE Physician 801-225-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 1872091205) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: UT 1872091205) |
| 207ZC0500X Pathology, Cytopathology (Licence: UT 1872091205) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: UT 1872091205) | |
| 207ZH0000X Pathology, Hematology (Licence: UT 1872091205) | |
| 207ZI0100X Pathology, Immunopathology (Licence: UT 1872091205) | |
| 207ZM0300X Pathology, Medical Microbiology (Licence: UT 1872091205) | |
| 207ZN0500X Pathology, Neuropathology (Licence: UT 1872091205) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: UT 1872091205) | |
| 207ZP0104X Pathology, Chemical Pathology (Licence: UT 1872091205) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: UT 1872091205) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-05-29 |