Organization
SANCHEZ PRIME CARE PC
Active
Other names
INTERMONTAIN HEALTHCARE CORE LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA SANCHEZ M.D. (PRESIDENT)
(801) 462-5779
Entity
Organization
Contact information
Practice address
5252 INTERMOUNTAIN DR, MURRAY, UT 84107-5700
(801) 462-5779
Mailing address
1436 W GLENOAKS BLVD, STE 193, GLENDALE, CA 91201-1984
(801) 462-5779
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
46D1049154
UT
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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