NPI Details
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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0483)
- Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | MED00041092015 | UTAH | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1215302245 | MEDICAID | UTAH | |
| 2 | 46D2103212 | OTHER | UTAH | CLIA |
