Organization
PREDICTIVE LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY C ROBINSON (CEO)
(385) 290-4504
Entity
Organization
Contact information
Practice address
2749 E PARLEYS WAY STE 100, SALT LAKE CITY, UT 84109-1638
(855) 497-3636
(888) 972-9124
Mailing address
2735 E PARLEYS WAY STE 205, SALT LAKE CITY, UT 84109-1631
(855) 497-3636
(888) 972-9124
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
12/21/2020
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