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Beechtree Molecular Lab LLC

Clinical Medical Laboratory in Draper, UT. Organization (NPI-2).

NPI number1982202453
StatusActive
Last updated in NPPESMar 28, 2024

Details

NPI
1982202453
Entity type
Organization (NPI-2)
Legal business name
Beechtree Molecular Lab LLC
Organization subpart
No
Enumeration date
Oct 15, 2020
Certification date
Mar 28, 2024
Last updated
Mar 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Other names

  • Bt Molecular LLC (Doing Business As)

Practice location

12351 S Gateway Park Place
Suite D-500
Draper, UT 84020-8402

Phone 269-998-0866 · Fax 801-683-9907

Mailing address

12351 S Gateway Park Pl Ste D-700
Draper, UT 84020-9581

Phone 801-893-2773 · Fax 801-683-9907

Other practice locations

301 Calista Ct Ste 102
Anchorage, AK 99518-3000

Phone 907-917-0310

Authorized official

Gary Dawson
Vp Of Finance
8018932773

Is something wrong?

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