NPIMap

Organization Active NPI

Bourget Health Services, Inc

  • Clinical Medical Laboratory
  • Salt Lake City, UT
National Provider Identifier
1679800056
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BOURGET HEALTH SERVICES, INC
Doing business as
Pathology Associates Medical Laboratories
Practice address
1141 E 3900 S
Salt Lake City, UT 84124-1215
Phone
(509) 755-8600
NPI assigned
Nov 5, 2009
Organization subpart
Yes
Parent organization
BOURGET HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Kurt Rogers
Title
Cfo
Phone
(509) 755-8903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1141 E 3900 S
Salt Lake City, UT 84124-1215

Mailing address

PO Box 2695
Spokane, WA 99220-2695
Phone (509) 755-8600

Other names 1

  • Pathology Associates Medical Laboratories Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pathology Assoc Med Lab3 organizations share this tax ID, including this one
Part of
Pathology Assoc Med Lab

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1679800056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2695",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202695",
            "telephone_number": "509-755-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241215",
            "telephone_number": "509-755-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURGET HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOURGET HEALTH SERVICES",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-755-8903"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology Associates Medical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.