NPI 1740752500
Stream Dx INC
Practice location
- Address
- 2305 S 1070 W, West Valley City, UT 84119-1564
- Phone
- (781) 789-0169
Authorised official
- Name
- Brian Dean Holt
- Title
- Officer
- Phone
- (781) 789-0169
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1740752500
- Entity type
- Organization
- NPI issued
- 18 Dec 2018
- Record last updated
- 18 Dec 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.