Stream DX Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

STREAM DX INC

Practice address

2305 S 1070 W
West Valley City, UT 84119-1564

Phone

(781) 789-0169

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Brian Dean Holt

Title

Officer

Phone

(781) 789-0169

Specialties & licenses 1

Addresses

Other names 1

• Stream Dx Inc Doing business as

Locations

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1740752500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S 1070 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841191564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S 1070 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841191564",
            "telephone_number": "781-789-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAM DX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "781-789-0169"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stream Dx Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon L Stewart, CRNA
• Pauline Stokes
• Gregory A Stone, DO
• Stonehaven Dental - West Valley LLC
• Stoneridge Pharmacy LLC
• Jennifer Suarez, PHARMD
• Dajhana Lesly Sudbury
• Payton Sugden
• Shelbie Suggs, FNP
• Rachel E Sullivan, RPSGT, CNA

• Physiological Laboratory in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Physiological Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.