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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