Organization
LAKEVIEW PROFESSIONAL BILLING
Active
Other names
Hospital Corporation of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
TENNILEL MICHAELIS (BILLER)
(801) 299-7802
Entity
Organization
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-7802
(801) 299-7803
Mailing address
PO BOX 639, BOUNTIFUL, UT 84011-0639
(801) 299-7802
(801) 299-7803
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
167432-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529660595001
—
UT
Enumeration date
01/12/2007
Last updated
08/22/2020
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