Organization
BT MOLECULAR LLC
Active
Parent organization
BEECHTREE MOLECULAR LAB LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEECHTREE MOLECULAR LAB LLC
Authorized official
GARY DAWSON (VP OF FINANCE)
(801) 893-2773
Entity
Organization
Contact information
Practice address
12351 S GATEWAY PARK PL STE D-500, DRAPER, UT 84020-9581
(801) 893-2773
(844) 869-5227
Mailing address
12351 S GATEWAY PARK PL STE D-500, DRAPER, UT 84020-9581
(801) 893-2773
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46D2209724
CLIA
UT
Enumeration date
12/02/2021
Last updated
03/06/2024
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