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BEECHTREE DIAGNOSTICS LLP NPI 1215302245


NPI Information

NPI: 1215302245
Provider Name: BEECHTREE DIAGNOSTICS LLP
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 46D2103212

Address:
12351 S GATEWAY PARK PL STE D-700
DRAPER, UT
ZIP 84020
Phone: (801) 893-2773
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BEECHTREE DIAGNOSTICS LLP 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 DIAGNOSTICS LLP NPI is 1215302245. The provider is registered as an organization entity type.

The provider's business location address is:

12351 S GATEWAY PARK PL STE D-700
DRAPER, UT
ZIP 84020-581
Phone: (801) 893-2773
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) 890-7971.

The CLIA number assigned to this NPI record is 46D2103212 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 1/16/2024.


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 LaboratoryMED00041092015UTAHYes

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
11215302245MEDICAIDUTAH
246D2103212OTHERUTAHCLIA

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.