Organization
EXPRESS POX L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER W. HANSEN CRT (OWNER/MANAGER)
(801) 721-0415
Entity
Organization
Contact information
Practice address
1896 E 5725 S, OGDEN, UT 84403-5905
(801) 721-0415
(801) 479-7699
Mailing address
1896 E 5725 S, OGDEN, UT 84403-5905
(801) 721-0415
(801) 479-7699
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
103889-5701
UT
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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