NPI 1982202453
Beechtree Molecular Lab LLC
Practice location
- Address
- 12351 S Gateway Park Place Suite D-500, Draper, UT 84020-8402
- Phone
- (269) 998-0866
- Fax
- (801) 683-9907
- Mailing address
- 12351 S Gateway Park Pl STE D-700, Draper, UT 84020-9581
Authorised official
- Name
- Gary Dawson
- Title
- Vp of Finance
- Phone
- (801) 893-2773
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1982202453
- Entity type
- Organization
- NPI issued
- 15 Oct 2020
- Record last updated
- 28 Mar 2024
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.