Organization
IHC HEALTH SERVICES INC
Active
Other names
Salt Lake Clinic Independent Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHYSICIAN EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2375
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19960602
UT
Other
Enumeration date
03/06/2007
Last updated
10/28/2020
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