# UNIVERSITY PATHOLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578663480
- **Authorized official:** DR. PETER E JENSEN MD (DEPT CHAIR)
- **Authorized official phone:** (801) 581-4390

## Contact information

- **Practice address:** 50 N MEDICAL DR, PATHOLOGY, SALT LAKE CITY, UT 84132-0001
- **Practice address phone:** (801) 581-2507
- **Practice address fax:** (801) 585-7376
- **Mailing address:** 50 N MEDICAL DR, \#5C124-SOM U OF U DEPT OF PATHOLOGY, SALT LAKE CITY, UT 84132-0001
- **Mailing address phone:** (801) 581-4390
- **Mailing address fax:** (801) 585-3831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | — |
| 207ND0900X | Dermatopathology Physician | — | NULL | — |
| 207ND0900X | Dermatopathology Physician | — | — | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | — |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | — | NULL | — |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | — | — | — |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | NULL | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | — | — |
| 207ZN0500X | Neuropathology Physician | — | NULL | — |
| 207ZN0500X | Neuropathology Physician | — | — | — |
| 207ZP0101X | Anatomic Pathology Physician | — | NULL | — |
| 207ZP0101X | Anatomic Pathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0104X | Chemical Pathology Physician | — | NULL | — |
| 207ZP0104X | Chemical Pathology Physician | — | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 09/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100502392 | — | NV |
| 05 | — | 115609800 | — | WY |
| 05 | — | 805868800 | — | ID |
| 05 | — | 88532704 | — | NM |