Progenitor Mdx, INC

NPI #1841887833 in Salt Lake City, Utah

Provider Information

NPI Number: 1841887833
Entity Type: Organization
Organization Name: Progenitor Mdx, INC
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Enumeration Date: Dec 24, 2020
Last Updated: Jan 6, 2021

Practice Location

Address: 675 S ARAPEEN DR # 103B
City: Salt Lake City
State: Utah
ZIP Code: 84108-1223
Phone: (877) 502-4748

Authorized Official

Name: GARY R SAMS, PHD
Title: PHYSICIAN
Phone: (877) 502-4748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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