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MYRIAD GENETIC LABORATORIES INC. NPI 1669484473


NPI Information

NPI: 1669484473
Provider Name: MYRIAD GENETIC LABORATORIES, INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 46D0880690

Address:
320 WAKARA WAY
SALT LAKE CITY, UT
ZIP 84108
Phone: (801) 584-3600
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MYRIAD GENETIC LABORATORIES, INC. is a clinical medical laboratory in Salt Lake City, UT. The provider is (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. MYRIAD GENETIC LABORATORIES, INC. NPI is 1669484473. The provider is registered as an organization entity type.

The provider's business location address is:

320 WAKARA WAY
SALT LAKE CITY, UT
ZIP 84108-214
Phone: (801) 584-3600
Fax: (801) 883-3472

The provider's authorized official is Benjamin B. Roa .
The authorized official title is Laboratory Director and has the following contact phone number (801) 584-3049.

The CLIA number assigned to this NPI record is 46D0880690 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 4/18/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory46D0880690UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102668124MEDICAIDNEW YORK
256130236MEDICAIDCOLORADO
382350800MEDICAIDWISCONSIN
4409661400MEDICAIDMARYLAND
5912768MEDICAIDARIZONA
6010210186MEDICAIDVIRGINIA
7200062220AMEDICAIDOKLAHOMA
846D2094383OTHERUTAHCLIA
9LB323UTMEDICAIDALASKA
1042122333MEDICAIDNEW MEXICO
1146D2094383MEDICAIDUTAH
12706248507MEDICAIDMISSOURI
13200508920AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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