46D2185081 CLIA NUMBER - UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP DBA UTAH MUSCULOSKELETAL SPECIALISTS

Laboratory Demographics

CLIA Number: 46D2185081

Facility Name: UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP DBA UTAH MUSCULOSKELETAL SPECIALISTS

Facility Address:
6321 S REDWOOD ROAD, STE 102
TAYLORSVILLE, UT
ZIP 84123
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Facility Phone Number: 385 440-9333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700490133

Taxonomy: 207RI0011X - Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

CLIA Record

Field Name	Field Value
CLIA Number	46D2185081
LAB Type	Physician Office
Facility Name	UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP DBA UTAH MUSCULOSKELETAL SPECIALISTS
Street	6321 S REDWOOD ROAD, STE 102
City	TAYLORSVILLE
State	UT
ZIP	84123
Phone	385 440-9333
CertificateType	4
CertificateEffectiveDate	5/29/2022
CertificateExpirationDate	5/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024