Organization
RED ROCK LABRATORY
Active
Organization
RED ROCK LABRATORY
Active
Other names
Red Rock Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
TAZ HARDY DECKER (OWNER REGISTERED AGENT)
(801) 897-5900
Entity
Organization
Contact information
Practice address
120 W 1470 S, SUITE 200, ST GEORGE, UT 84770-6798
(801) 897-5900
Mailing address
120 W 1470 S, SUITE 200, ST GEORGE, UT 84770-6798
(801) 897-5900
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
46D2112751
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46D2112751
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) HIGH COMPLEXITY
UT
Enumeration date
06/14/2016
Last updated
06/14/2016
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