| NPI | 1912406752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY OSMOND Manager 801-225-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |