Aspen Hills Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

9381961-0160 Issued in UT

Legal business name

ASPEN HILLS DIAGNOSTICS, LLC

Practice address

1098 W South Jordan Pkwy
Suite 108
South Jordan, UT 84095-9366

Phone

(801) 822-9281

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jarrod Passey

Title

Owner

Phone

(801) 822-9281

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1194184440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 108",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959366",
            "telephone_number": "801-822-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 108",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959366",
            "telephone_number": "801-822-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN HILLS DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "PASSEY",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-822-9281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "9381961-0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Clinical Medical Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.