BT Molecular LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BT MOLECULAR LLC

Practice address

12351 S Gateway Park PL Ste D-500
Draper, UT 84020-9581

Phone

(801) 893-2773

Fax

(844) 869-5227

NPI assigned

Dec 2, 2021

Organization subpart

Yes

Parent organization

BEECHTREE MOLECULAR LAB LLCAs reported in NPPES

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

Authorized official

Name

Gary Dawson

Title

VP of Finance

Phone

(801) 893-2773

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

BT Molecular LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Beechtree Molecular Lab LLC

  • Clinical Medical Laboratory
  • Draper, UT
  • NPI 1982202453
  NPPES parent name

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1932867371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 S GATEWAY PARK PL STE D-500",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209581",
            "telephone_number": "801-893-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 S GATEWAY PARK PL STE D-500",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209581",
            "telephone_number": "801-893-2773",
            "fax_number": "844-869-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BT MOLECULAR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEECHTREE MOLECULAR LAB LLC",
        "enumeration_date": "2021-12-02",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "801-893-2773"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "46D2209724",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Brown
• Scott Bruderer, PA
• Megan Brunelle
• Brittany Bruner
• Monte Bryce
• Adalee Buchanan, MS, BCBA
• Jesse Alexander Buchanan, CSW
• Jessica Buchanan
• Rachal Adelle Buchanan, LCSW
• Benjamin Buckner, M.D.

• Clinical Medical Laboratory in Draper, UT
• Providers in Draper, 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 Mar 6, 2024; 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.