Myriad Mypath, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MYRIAD MYPATH, LLC

Practice address

320 Wakara Way
Salt Lake City, UT 84108-1214

Phone

(801) 584-3574

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Christopher Ho

Title

SVP Payer Markets

Phone

(801) 584-3574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1205412111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WAKARA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081214",
            "telephone_number": "801-584-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WAKARA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081214",
            "telephone_number": "801-584-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRIAD MYPATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SVP PAYER MARKETS",
        "authorized_official_telephone_number": "801-584-3574"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidnee Myers
• Weston Myers
• Kathleen Ann Myhre
• Rohan Mylavarapu, BA
• Myriad Genetic Laboratories, Inc.
• Curt D Myrick, PHYSICAL THERAPIST
• Katie S Myrick, MD
• Sol Riley Myrick
• Janet Myshrall, P.T.
• Austin Myslinski

• Clinical Medical Laboratory in Salt Lake City, UT
• Providers in Salt Lake City, 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 Mar 22, 2021; 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.