Organization
SALT LAKE CITY V.A. LABORATORY
Active
Organization
SALT LAKE CITY V.A. LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELLA RICHTER (HEAD MEDICAL TECHNOLOGIST)
(801) 582-1565
Entity
Organization
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
11467 JORDAN BEND RD, SOUTH JORDAN, UT 84095-8065
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
03567065
UT
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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