Wasatch Behavioral Health Special Service District
Clinical Medical Laboratory in Orem, UT. Organization (NPI-2).
NPI number1669257556
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1669257556
- Entity type
- Organization (NPI-2)
- Legal business name
- Wasatch Behavioral Health Special Service District
- Organization subpart
- Yes
- Enumeration date
- Aug 29, 2023
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Wasatch Behavioral Health Special Service District Laboratory (Other Name)
Practice location
255 S Orem BlvdOrem, UT 84058-3009
Phone 801-373-4760
Mailing address
750 N Freedom Blvd Ste 300Provo, UT 84601-1690
Phone 801-374-4760 · Fax 801-373-0639
Authorized official
Juergen E Korbanka
Executive Director
8018524703
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