Organization
AXIAL BIOTECH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WARD M.D. (CHIEF SCIENTIFIC OFFICER)
(801) 984-9137
Entity
Organization
Contact information
Practice address
2749 PARLEYS WAY, SUITE 200, SALT LAKE CITY, UT 84109-1660
(801) 984-9100
(801) 994-1000
Mailing address
2749 PARLEYS WAY, SUITE 200, SALT LAKE CITY, UT 84109-1660
(801) 984-9100
(801) 994-1000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
46D1077919
UT
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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