NPI 1043319742
Pediatric Pathology Associates
Practice location
- Address
- 100 N Medical Dr Pathology, Salt Lake City, UT 84113-1103
- Phone
- (801) 588-3165
- Fax
- (801) 588-3169
- Mailing address
- 100 N Medical Dr Pediatric Pathology, Salt Lake City, UT 84113-1103
Authorised official
- Name
- Cheryl M Coffin
- Title
- Division Head-Pediatric Pathology
- Phone
- (801) 588-3165
Registered specialties (12)
Pediatric Pathology Physician
Primary
Blood Banking & Transfusion Medicine Physician
Cytopathology Physician
Dermatopathology (Pathology) Physician
Forensic Pathology Physician
Hematology (Pathology) Physician
Immunopathology Physician
Medical Microbiology Physician
Anatomic Pathology Physician
Anatomic Pathology & Clinical Pathology Physician
Chemical Pathology Physician
Clinical Pathology/Laboratory Medicine Physician
Registry record
- NPI
- 1043319742
- Entity type
- Organization
- NPI issued
- 21 Sep 2006
- Record last updated
- 7 Sep 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.