NPIMap

Organization Active NPI

Basin Paramedical Exam Services LLC

  • Clinical Medical Laboratory
  • Vernal, UT
National Provider Identifier
1295988830
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BASIN PARAMEDICAL EXAM SERVICES LLC
Practice address
1389 W Highway 40
Suite B
Vernal, UT 84078-4204
Phone
(435) 789-9440
Fax
(435) 789-9441
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mrs. Suzanne M Hadlock, PME/CLP
Title
Owner/MNGR
Phone
(435) 789-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1389 W Highway 40
Suite B
Vernal, UT 84078-4204

Mailing address

1389 W Highway 40
Suite B
Vernal, UT 84078-4204
Phone (435) 789-9440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1295988830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 W HIGHWAY 40",
            "address_2": "SUITE B",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840784204",
            "telephone_number": "435-789-9440",
            "fax_number": "435-789-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 W HIGHWAY 40",
            "address_2": "SUITE B",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840784204",
            "telephone_number": "435-789-9440",
            "fax_number": "435-789-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN PARAMEDICAL EXAM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "HADLOCK",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MNGR",
        "authorized_official_telephone_number": "435-789-9440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PME/CLP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.