Active NPI
Noble Labs, LLC
- Clinical Medical Laboratory
- Salt Lake City, UT
National Provider Identifier
1992473896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NOBLE LABS, LLC
- Practice address
- 421 S Wakara Way Ste 101
Salt Lake City, UT 84108-1244 - Phone
- (433) 432-6843
- NPI assigned
- Sep 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew McKernon
- Title
- Principle
- Phone
- (833) 432-6843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
421 S Wakara Way Ste 101
Salt Lake City, UT 84108-1244
Mailing address
421 S Wakara Way Ste 101
Salt Lake City, UT 84108-1244
National Provider Directory
National Provider DirectoryLocations
421 S Wakara Way
Ste 101
Salt Lake City, UT 84108
Phone (433) 432-6843
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Twin Falls, ID
- NPI 1013283472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632700800000",
"number": "1992473896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 S WAKARA WAY STE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S WAKARA WAY STE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081244",
"telephone_number": "433-432-6843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLE LABS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A",
"authorized_official_last_name": "MCKERNON",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRINCIPLE",
"authorized_official_telephone_number": "833-432-6843"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.