NPI 1679745467

Express Pox L.L.C.

Organisation Clinical Medical Laboratory Ogden, UT

Practice location

Address: 1896 E 5725 S, Ogden, UT 84403-5905
Phone: (801) 721-0415
Fax: (801) 479-7699

Authorised official

Name: Roger W. Hansen
Title: Owner/Manager
Phone: (801) 721-0415

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 103889-5701 (UT)

Other Clinical Medical Laboratory providers in Utah →

Registry record

NPI: 1679745467
Entity type: Organization
NPI issued: 1 Apr 2008
Record last updated: 1 Apr 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.