Organization
BEECHTREE MOLECULAR LAB LLC
Active
Organization
BEECHTREE MOLECULAR LAB LLC
Active
Other names
BT Molecular LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DAWSON (VP OF FINANCE)
(801) 893-2773
Entity
Organization
Contact information
Practice address
12351 S GATEWAY PARK PLACE, SUITE D-500, DRAPER, UT 84020-8402
(269) 998-0866
(801) 683-9907
Mailing address
12351 S GATEWAY PARK PL STE D-700, DRAPER, UT 84020-9581
(801) 893-2773
(801) 683-9907
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02D2195732
CLIA
AK
01
—
46D2209724
CLIA
UT
Enumeration date
10/15/2020
Last updated
03/28/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up