Confederated Tribes Of The Goshute Reservation
Clinical Medical Laboratory in Salt Lake City, UT. Organization (NPI-2).
NPI number1265892012
StatusActive
Last updated in NPPESDec 11, 2025
Details
- NPI
- 1265892012
- Entity type
- Organization (NPI-2)
- Legal business name
- Confederated Tribes Of The Goshute Reservation
- Organization subpart
- No
- Enumeration date
- Mar 7, 2016
- Certification date
- Dec 11, 2025
- Last updated
- Dec 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 9453799-8906 | UT | Yes |
Other names
- Sacred Circle Health Care (Doing Business As)
Practice location
660 S 200 E Ste 250Salt Lake City, UT 84111-3846
Phone 801-359-2256 · Fax 801-364-4392
Mailing address
Hc 61 Box 6104Ibapah, UT 84034-6003
Phone 801-359-2256 · Fax 801-364-4392
Authorized official
Linda Thatcher
Billing
8013592256
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