Organization
SORENSON GENOMICS, LLC
Active
Other names
Sorenson Genomics - Identigene
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS R. FOGG (CHIEF OPERATING OFFICER)
(801) 462-1409
Entity
Organization
Contact information
Practice address
2495 S WEST TEMPLE, SALT LAKE CITY, UT 84115-3057
(801) 462-1400
(801) 462-1404
Mailing address
2511 S WEST TEMPLE, SALT LAKE CITY, UT 84115-3060
(801) 462-1400
(801) 462-1404
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
08/21/2014
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