| NPI | 1962729293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA STROLL Credentialing Project Coordinator 801-581-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |