Heredilab, INC
NPI #1154884575 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1154884575
- Entity Type
- Organization
- Organization Name
- Heredilab, INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 11, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 1060 E 100 S STE 109
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-4303
- Phone
- (801) 328-4254
Authorized Official
- Name
- MELODY A. CAMPBELL
- Title
- VICE PRESIDENT
- Phone
- (801) 583-4123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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