Organization
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
Active
Parent organization
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
Other names
Wasatch Behavioral Health Special Service District Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
Authorized official
JUERGEN E KORBANKA PH.D. (EXECUTIVE DIRECTOR)
(801) 852-4703
Entity
Organization
Contact information
Practice address
255 S OREM BLVD, OREM, UT 84058-3009
(801) 373-4760
Mailing address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 374-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
07/18/2025
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