NPI 1154884575
Heredilab, INC
Practice location
- Address
- 1060 E 100 S STE 109, Salt Lake City, UT 84102-4303
- Phone
- (801) 328-4254
- Fax
- (801) 328-9166
- Mailing address
- 5505 E Pioneer Fork Rd, Salt Lake City, UT 84108-1682
Authorised official
- Name
- Melody A. Campbell
- Title
- Vice President
- Phone
- (801) 583-4123
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1154884575
- Entity type
- Organization
- NPI issued
- 11 Apr 2019
- Record last updated
- 11 Jun 2019
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.