NPI 1174526107

Open Imaging-Layton, LLC

Organisation Physiological Laboratory Layton, UT

Practice location

Address: 2071 N Main St STE 100, Layton, UT 84041-4970
Phone: (801) 825-4040
Fax: (801) 825-4039
Mailing address: PO Box 641825, Cincinnati, OH 45264-1825

Authorised official

Name: Albert C. van Kirk
Title: President and Ceo
Phone: (330) 653-3968

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Utah →

Registry record

NPI: 1174526107
Entity type: Organization
NPI issued: 23 May 2005
Record last updated: 23 Sep 2021

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.