Organization
BASIN PARAMEDICAL EXAM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE M HADLOCK (OWNER/MANAGER)
(435) 789-9440
Entity
Organization
Contact information
Practice address
1389 W HIGHWAY 40, SUITE B, VERNAL, UT 84078-4204
(435) 789-9440
Mailing address
1389 W. 500 S., STE B, VERNAL, UT 84078-8789
(435) 789-9440
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
UT
Other
Enumeration date
07/14/2008
Last updated
09/23/2008
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