Organization
BEECHTREE DIAGNOSTICS LLP
Active
Organization
BEECHTREE DIAGNOSTICS LLP
Active
Parent organization
LABPARTNER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LABPARTNER LLC
Authorized official
GARY DAWSON (VP OF FINANCE)
(801) 890-7971
Entity
Organization
Contact information
Practice address
12351 S GATEWAY PARK PL STE D-700, DRAPER, UT 84020-9581
(801) 893-2773
(801) 683-9907
Mailing address
PO BOX 35146, SEATTLE, WA 98124-5146
(801) 893-2773
(801) 683-9907
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MED00041092015
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215302245
—
UT
01
—
46D2103212
CLIA
UT
Enumeration date
12/02/2015
Last updated
01/16/2024
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