Active NPI
National Molecular Diagnostics
- Clinical Medical Laboratory
- Pleasant Grove, UT
National Provider Identifier
1154039436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NATIONAL MOLECULAR DIAGNOSTICS
- Practice address
- 1955 W Grove Pkwy Ste 201
Pleasant Grove, UT 84062-6731 - Phone
- (385) 248-0082
- NPI assigned
- Nov 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steele Anderson
- Title
- VP of Operations
- Phone
- (801) 336-8014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1955 W Grove Pkwy Ste 201
Pleasant Grove, UT 84062-6731
Mailing address
1955 W Grove Pkwy Ste 201
Pleasant Grove, UT 84062-6731
Phone (385) 248-0082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46D2270392 | Other | UT | CLIA |
| 52-1573280 | Other | UT | COLA |
Other names 2
- NMD
- National Molecular Diagnostics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Pleasant Grove, UT
- NPI 1477087260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1154039436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 W GROVE PKWY STE 201",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840626731",
"telephone_number": "385-248-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 W GROVE PKWY STE 201",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840626731",
"telephone_number": "385-248-0082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL MOLECULAR DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-07",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "STEELE",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "801-336-8014"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "46D2270392",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLA",
"identifier": "52-1573280",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NMD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "National Molecular Diagnostics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "National Molecular Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.