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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