Organization
AFFILIATED GENETICS, INC.
Active
Organization
AFFILIATED GENETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WARD M.D. (CHIEF MEDICAL OFFICER)
(801) 582-4200
Entity
Organization
Contact information
Practice address
2749 E PARLEYS WAY, SUITE 100, SALT LAKE CITY, UT 84109-1660
(801) 582-4200
(801) 582-8460
Mailing address
2749 E PARLEYS WAY, SUITE 100, SALT LAKE CITY, UT 84109-1660
(801) 582-4200
(801) 582-8460
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
11808800-002-STC
UT
Other
Enumeration date
06/20/2013
Last updated
07/02/2013
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