Active NPI
Universal Diagnostic Testing, LLC
- Clinical Medical Laboratory
- Sandy, UT
National Provider Identifier
1083702450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 56814
- Legal business name
- UNIVERSAL DIAGNOSTIC TESTING, LLC
- Practice address
- 10712 South 1300 East
Sandy, UT 84094 - Phone
- (800) 258-5329
- Fax
- (888) 503-0041
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 16, 2008
- Organization subpart
- Yes
- Parent organization
- UNIVERSAL DIAGNOSTIC TESTING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Robert Treacy
- Title
- Owner/Ceo
- Phone
- (801) 619-6793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 56814 | UT | Primary |
Addresses
Primary practice location
10712 South 1300 East
Sandy, UT 84094
Mailing address
10712 South 1300 East
Sandy, UT 84094
Phone (800) 258-5329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870502004 | Other | UT | BLUE CROSS BLUE SHIELD |
Other names 1
- Universal Diagnostic Testing, LLC
National Provider Directory
National Provider Directory- Part of
- Universal Diag Testing LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1083702450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10712 SOUTH 1300 EAST",
"city": "SANDY",
"state": "UT",
"postal_code": "84094",
"telephone_number": "800-258-5329",
"fax_number": "888-503-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10712 SOUTH 1300 EAST",
"city": "SANDY",
"state": "UT",
"postal_code": "84094",
"telephone_number": "800-258-5329",
"fax_number": "888-503-0041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL DIAGNOSTIC TESTING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSAL DIAGNOSTIC TESTING, LLC",
"enumeration_date": "2006-10-11",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "TREACY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "801-619-6793",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "UT",
"license": "56814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "870502004",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Universal Diagnostic Testing, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.