NPI 1053383141

Northern Utah Pathology PC

Organisation Anatomic Pathology & Clinical Pathology Physician Logan, UT

Practice location

Address: 1400 N 500 E, Logan, UT 84341-2455
Phone: (435) 716-5375
Fax: (843) 284-3401
Mailing address: PO Box 30309, Charleston, SC 29417-0309

Authorised official

Name: Matthew M Kershisnik
Title: President
Phone: (435) 716-5375

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

Other Pathology providers in Utah →

Registry record

NPI: 1053383141
Entity type: Organization
NPI issued: 3 Feb 2006
Record last updated: 7 Jan 2008

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.