NPIMap

Organization Active NPI

Express Pox L.L.C.

  • Clinical Medical Laboratory
  • Ogden, UT
National Provider Identifier
1679745467
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
103889-5701 Issued in UT
Legal business name
EXPRESS POX L.L.C.
Practice address
1896 E 5725 S
Ogden, UT 84403-5905
Phone
(801) 721-0415
Fax
(801) 479-7699
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Roger W. Hansen, CRT
Title
Owner/Manager
Phone
(801) 721-0415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 103889-5701 UT Primary

Addresses

Primary practice location

1896 E 5725 S
Ogden, UT 84403-5905

Mailing address

1896 E 5725 S
Ogden, UT 84403-5905
Phone (801) 721-0415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1679745467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 E 5725 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035905",
            "telephone_number": "801-721-0415",
            "fax_number": "801-479-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 E 5725 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035905",
            "telephone_number": "801-721-0415",
            "fax_number": "801-479-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS POX L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-721-0415",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "103889-5701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.