Organization
SERA PROGNOSTICS, INC
Active
Organization
SERA PROGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WORTHEN (SENIOR REVENUE CYCLE MANAGER)
(801) 990-6600
Entity
Organization
Contact information
Practice address
2749 E PARLEYS WAY, SUITE #200, SALT LAKE CITY, UT 84109-1660
(801) 990-0772
(801) 990-0640
Mailing address
2749 E PARLEYS WAY, SUITE #200, SALT LAKE CITY, UT 84109-1660
(801) 990-0772
(801) 990-0640
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120389
—
AZ
05
—
4016324
—
UT
Enumeration date
08/20/2013
Last updated
08/25/2022
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