NPIMap

Organization Active NPI

Sanchez Prime Care PC

Doing business as Intermontain Healthcare Core Laboratory

  • Clinical Medical Laboratory
  • Murray, UT
National Provider Identifier
1366761058
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
46D1049154 Issued in UT
Legal business name
SANCHEZ PRIME CARE PC
Doing business as
Intermontain Healthcare Core Laboratory
Practice address
5252 Intermountain Dr
Murray, UT 84107-5700
Phone
(801) 462-5779
NPI assigned
May 20, 2010
Last updated
May 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Ileana Sanchez, M.D.
Title
President
Phone
(801) 462-5779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 46D1049154 UT Primary

Addresses

Primary practice location

5252 Intermountain Dr
Murray, UT 84107-5700

Mailing address

1436 W Glenoaks Blvd
Ste 193
Glendale, CA 91201-1984
Phone (801) 462-5779

Other names 1

  • INTERMONTAIN HEALTHCARE CORE LABORATORY Doing business as

National Provider Directory

National Provider Directory

Locations

5252 S Intermountain Dr
Salt Lake City, UT 84107
Phone (801) 507-2110

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1366761058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 W GLENOAKS BLVD",
            "address_2": "STE 193",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011984",
            "telephone_number": "801-462-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 INTERMOUNTAIN DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075700",
            "telephone_number": "801-462-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCHEZ PRIME CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-462-5779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "46D1049154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERMONTAIN HEALTHCARE CORE LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.