GATEWAY AESTHEETIC INSTITUTE& LASER CENTER NPI 1124208343

NPI Information

GATEWAY AESTHEETIC INSTITUTE& LASER CENTER is a special hospital in Salt Lake City, UT. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. GATEWAY AESTHEETIC INSTITUTE& LASER CENTER NPI is 1124208343. The provider is registered as an organization entity type.

The provider's business location address is:

440 W 200 S STE 250
SALT LAKE CITY, UT
ZIP 84101-462
Phone: (801) 595-1600
Fax: (801) 364-0423

The provider's authorized official is Mark B Taylor .
The authorized official title is Ceo/physician and has the following contact phone number (801) 595-1600.

The CLIA number assigned to this NPI record is 46D0948264 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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