Red Rock Labratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

46D2112751 Issued in UT

Legal business name

RED ROCK LABRATORY

Practice address

120 W 1470 S
Suite 200
St George, UT 84770-6798

Phone

(801) 897-5900

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Taz Hardy Decker

Title

Owner Registered Agent

Phone

(801) 897-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Red Rock Laboratory Other name

Locations

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1669822276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 1470 S",
            "address_2": "SUITE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706798",
            "telephone_number": "801-897-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 1470 S",
            "address_2": "SUITE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706798",
            "telephone_number": "801-897-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK LABRATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "TAZ",
        "authorized_official_middle_name": "HARDY",
        "authorized_official_title_or_position": "OWNER REGISTERED AGENT",
        "authorized_official_telephone_number": "801-897-5900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "46D2112751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) HIGH COMPLEXITY",
            "identifier": "46D2112751",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Red Rock Neuropsychiatry PC
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• Red Rocks Surgical Center PC
• Red Sands Mental Health PLLC

• Clinical Medical Laboratory in St George, UT
• Providers in St George, 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 14, 2016; 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.