Vanguard Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VANGUARD LABORATORIES LLC

Practice address

341 S Main St Ste 200
Salt Lake City, UT 84111-3463

Phone

(951) 842-1667

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Nathan Andrew Keele

Title

Ceo

Phone

(801) 319-6243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1588315675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 S MAIN ST STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113463",
            "telephone_number": "385-229-4830",
            "fax_number": "801-659-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 S MAIN ST STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113463",
            "telephone_number": "951-842-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-06-16",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "KEELE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-319-6243"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamaria Vandrunen, CM
• Oriana Gema Vanegas Calderon, MD
• Barbara Vang
• Melanie Vang
• Chad Vanginkel, M.D.
• Jennifer Vanhorn
• Catherine Vanier, DO
• Cameron Vankomen
• Faith Vankomen
• Michael Lee Vanleeuwen, D.M.D.

• 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 Jun 16, 2023; 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.