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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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