46D2190755 CLIA NUMBER - BRISTOL PALLIATIVE CARE LLC

Laboratory Demographics

CLIA Number: 46D2190755

Facility Name: BRISTOL PALLIATIVE CARE LLC

Facility Address:
1106 EAST 6600 SOUTH STE 100
MURRAY, UT
ZIP 84121
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Facility Phone Number: 801 990-0360

Facility Type: Other - PALLIATIVE CARE

Certificate Type: Waiver

NPI Number: 1467930552

Taxonomy: 207RH0002X - Internal Medicine
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

CLIA Record

Field Name Field Value
CLIA Number 46D2190755
LAB Type Other - PALLIATIVE CARE
Facility Name BRISTOL PALLIATIVE CARE LLC
Street 1106 EAST 6600 SOUTH STE 100
City MURRAY
State UT
ZIP 84121
Phone 801 990-0360
CertificateType 4
CertificateEffectiveDate 8/19/2022
CertificateExpirationDate 8/18/2024
FacilityType Waiver

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