Progenitor Mdx, INC
Pathology, Clinical Laboratory Director, Non-physician in Salt Lake City, UT. Organization (NPI-2).
NPI number1841887833
StatusActive
Last updated in NPPESJan 6, 2021
Details
- NPI
- 1841887833
- Entity type
- Organization (NPI-2)
- Legal business name
- Progenitor Mdx, INC
- Organization subpart
- No
- Enumeration date
- Dec 24, 2020
- Certification date
- Jan 6, 2021
- Last updated
- Jan 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | – | Yes |
Practice location
675 S Arapeen Dr # 103bSalt Lake City, UT 84108-1223
Phone 877-502-4748
Mailing address
675 S Arapeen Dr # 103bSalt Lake City, UT 84108-1223
Phone 877-502-4748
Authorized official
Gary R Sams
Physician
8775024748
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