Provider Type Icon

BEECHTREE MOLECULAR LAB LLC NPI 1982202453


NPI Information

NPI: 1982202453
Provider Name: BEECHTREE MOLECULAR LAB LLC

Doing Business As: BT MOLECULAR LLC

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
12351 S GATEWAY PARK PLACE
SUITE D-500
DRAPER, UT
ZIP 84020
Phone: (269) 998-0866
Get Directions

BEECHTREE MOLECULAR LAB LLC is a clinical medical laboratory in Draper, 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. BEECHTREE MOLECULAR LAB LLC NPI is 1982202453. The provider is registered as an organization entity type.
The provider Is Doing Business As Bt Molecular Llc.

The provider's business location address is:

12351 S GATEWAY PARK PLACE
SUITE D-500
DRAPER, UT
ZIP 84020-402
Phone: (269) 998-0866
Fax: (801) 683-9907

The provider's authorized official is Gary Dawson .
The authorized official title is Vp Of Finance and has the following contact phone number (801) 893-2773.

The enumeration date for this NPI number is 10/15/2020 and was last updated on 3/28/2024.


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 LaboratoryYes

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
146D2209724OTHERUTAHCLIA
202D2195732OTHERALASKACLIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.