NPIMap

Organization Active NPI

State of Utah

  • Clinical Medical Laboratory
  • Taylorsville, UT
National Provider Identifier
1679964597
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STATE OF UTAH
Practice address
4431 S Constitution Blvd
Taylorsville, UT 84129-8600
Phone
(801) 965-2500
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Dr. Robyn M Atkinson, PHD
Title
Director
Phone
(801) 965-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4431 S Constitution Blvd
Taylorsville, UT 84129-8600

Mailing address

4431 S Constitution Blvd
Taylorsville, UT 84129-8600
Phone (801) 965-2500

Other names 1

  • Utah Public Health Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Juan Counseling Ctr28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

4431 S Constitution Blvd
Taylorsville, UT 84129
Phone (801) 584-8256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1679964597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 S CONSTITUTION BLVD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841298600",
            "telephone_number": "801-965-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 S CONSTITUTION BLVD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841298600",
            "telephone_number": "801-965-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-965-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Public Health Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.