STATE OF UTAH


Address: 4431 S Constitution Blvd, Taylorsville, UT 84129-8600
Phone: 8019652500

STATE OF UTAH (NPI# 1679964597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679964597
Entity Type Organization
Organization Name STATE OF UTAH
Other Organization Name UTAH PUBLIC HEALTH LABORATORY
Practice Address 4431 S Constitution Blvd
Taylorsville
UT 84129-8600
Practice Telephone 8019652500
Mailing Telephone 8019652500
Enumeration Date 2015-02-13
Last Update Date 2015-02-13
Authorized Official Name DR. ROBYN M ATKINSON (DIRECTOR)
Authorized Official Telephone 8019652424
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
Utah Public Health Laboratory Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699878942 State of Utah Public Health or Welfare 44 N Mario Cappeci Drive, Salt Lake City, UT 84114 2006-09-05
1811978620 State of Utah Psychiatric Hospital 1300 E Center St, Provo, UT 84606-3554 2005-11-09
1972870517 State of Utah Pharmacy 14425 Bitterbrush Ln, Draper, UT 84020-9501 2011-11-28

Office Location

Street Address 4431 S CONSTITUTION BLVD
City TAYLORSVILLE
State UT
Zip Code 84129-8600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417444183 Kimberly Joan Hart Genetic Counselor, MS 4431 S Constitution Blvd, Taylorsville, UT 84129-8600 2018-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891140331 Caring for Kearns Social Worker 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 2016-05-03
1386014116 Rusty Scott Burns Physician Assistant 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 2015-10-06
1013398817 Clifford Simpson Counselor 4897 S Avant Cir, Taylorsville, UT 84129 2015-06-17
1912328576 Heather Jenkins Substance Abuse Rehabilitation Facility 6200 South 3809 West, Kearns, UT 84129 2013-12-30
1184981201 Intermountain Community Supports and Services, LLC In Home Supportive Care 5104 Heritage Cove, Taylorsville, UT 84129 2012-04-13
1093039521 Chad Alan Spain Family Medicine 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 2010-03-26
1396068342 Lindsay Helena Wilson Dermatology 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 2010-03-04
1962962407 Craig J Campbell Dpm PC Durable Medical Equipment & Medical Supplies 5255 S 4015 W, #140, Salt Lake City, UT 84129 2019-03-21
1851866735 Katie Nicholls Physician Assistant 4745 S 3200 W, Taylorsville, UT 84129 2018-10-08
1962829374 Spencer Tingey Family Medicine 3730 W 4700 S, Taylorsville, UT 84129 2014-03-24
Find all providers in zip 84129

Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871740225 Retirement Living, Inc. Clinical Medical Laboratory 2011 W 4700 S, Taylorsville, UT 84118-1107 2008-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063019271 Quest Diagnostics Clinical Laboratories Inc. Clinical Medical Laboratory 942 Chambers St Ste 15, South Ogden, UT 84403-5131 2020-10-01
1679187967 Quansys Biosciences, Inc. Clinical Medical Laboratory 365 N 600 W, Logan, UT 84321-3741 2020-09-03
1376152983 Sports Drug Testing Laboratory, LLC Clinical Medical Laboratory 10644 S Jordan Gtwy Ste 200, South Jordan, UT 84095-4036 2020-07-29
1740808500 Redstone Reference Laboratories Inc Clinical Medical Laboratory 556 N Dixie Drive, Suite 2, St George, UT 84770 2020-07-08
1063033249 Arches Research, Inc. Clinical Medical Laboratory 1960 S 4250 W, Salt Lake City, UT 84104-4836 2020-04-29
1275161671 Soft Cell L-form Laboratories LLC Clinical Medical Laboratory 4616 S Beehive Dr Apt 3, St George, UT 84790-1806 2020-03-31
1003441858 Southwest Spine and Pain Care Specialists, LLC Clinical Medical Laboratory 2051 E Red Hills Pkwy Ste 7, St George, UT 84770-8671 2020-03-11
1750915658 Idbydna Inc. Clinical Medical Laboratory 675 S Arapeen Dr Ste 301, Salt Lake City, UT 84108-1223 2020-02-28
1700420361 Renalytix Ai, Inc. Clinical Medical Laboratory 421 S Wakara Way Ste 309, Salt Lake City, UT 84108-3549 2019-11-06
1205481363 Reveal Laboratories LLC Clinical Medical Laboratory 7370 S Creek Rd Ste 204, Sandy, UT 84093-6113 2019-08-06
Find all providers with the same taxonomy

Competitor

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City TAYLORSVILLE
Zip Code 84129

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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