Organization
UNIVERSAL DIAGNOSTIC TESTING, LLC
Active
Parent organization
UNIVERSAL DIAGNOSTIC TESTING, LLC
Other names
Universal Diagnostic Testing, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSAL DIAGNOSTIC TESTING, LLC
Authorized official
MR. MICHAEL ROBERT TREACY (OWNER/CEO)
(801) 619-6793
Entity
Organization
Contact information
Practice address
10712 SOUTH 1300 EAST, SANDY, UT 84094
(800) 258-5329
(888) 503-0041
Mailing address
10712 SOUTH 1300 EAST, SANDY, UT 84094
(800) 258-5329
(888) 503-0041
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
56814
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870502004
BLUE CROSS BLUE SHIELD
UT
Enumeration date
10/11/2006
Last updated
07/16/2008
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