NPI 1639560154
Elysium Labsource
Practice location
- Address
- 2435 W Spencer Crest Dr, Bluffdale, UT 84065-3048
- Phone
- (801) 709-9419
Authorised official
- Name
- Michael Harris
- Title
- Medical Director
- Phone
- (801) 465-8004
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1639560154
- Entity type
- Organization
- NPI issued
- 6 Feb 2015
- Record last updated
- 1 Mar 2015
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.