Organization
FOUNDATION FOR FAMILY LIFE
Active
Organization
FOUNDATION FOR FAMILY LIFE
Active
Other names
FLC Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WHITE PH.D. (EXECUTIVE DIRECTOR)
(801) 750-5398
Entity
Organization
Contact information
Practice address
11978 S REDWOOD RD STE C, RIVERTON, UT 84065-7403
(801) 750-5398
Mailing address
1878 W 12600 S # 230, RIVERTON, UT 84065-7026
(801) 750-5398
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
12/20/2019
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