Western Biological Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

46D0865144 Issued in UT

Legal business name

WESTERN BIOLOGICAL LABORATORY, INC.

Practice address

2180 E 4500 S
Suite 292
Salt Lake City, UT 84117-4434

Phone

(801) 278-9206

Fax

(801) 278-9287

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne R Burt, PH.D.

Title

Laboratory Director

Phone

(801) 278-9206

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1518084953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S",
            "address_2": "SUITE 292",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174434",
            "telephone_number": "801-278-9206",
            "fax_number": "801-278-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S",
            "address_2": "SUITE 292",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174434",
            "telephone_number": "801-278-9206",
            "fax_number": "801-278-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN BIOLOGICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "801-278-9206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "46D0865144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "46D0865144",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa M Westbye
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• Christof Westenfelder, MD
• Stacey Westenskow
• John S. Westerdahl, MD
• Western Neurological Associates Inc
• Western Newborn Specialists
• Western Newborn Specialists
• Western Peaks Physician Group
• Western Summit Rehabilitation LLC

• 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 Nov 13, 2014; 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.