Organization
INDEPENDENT HISTOLOGY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE D. HENDRICKSEN HT ASCP (OWNER DIRECTOR)
(801) 423-2334
Entity
Organization
Contact information
Practice address
930 S HOMESTEAD DR, WOODLAND HILLS, UT 84653-2084
(801) 423-2334
(801) 221-1899
Mailing address
930 S HOMESTEAD DR, WOODLAND HILLS, UT 84653-2084
(801) 423-2334
(801) 221-1899
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
UT
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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