NPI 1437671583

Kg Medical Consulting

Organisation Physiological Laboratory American Fork, UT

Practice location

Address: 231 E 200 N, American Fork, UT 84003-1742
Phone: (801) 319-2772
Mailing address: 2040 E Murray Holladay Rd STE 115, Slc, UT 84117-5139

Authorised official

Name: Gregory Q. Jackson
Title: Owner
Phone: (801) 430-0282

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 7382930-0160 (UT)

Other Physiological Laboratory providers in Utah →

Registry record

NPI: 1437671583
Entity type: Organization
NPI issued: 11 Jul 2017
Record last updated: 16 Jun 2018

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.