SKIN PATHOLOGY CONSULTANTS OF UTAH NPI 1548308067

NPI Information

  • NPI: 1548308067
  • Provider Name: SKIN PATHOLOGY CONSULTANTS OF UTAH
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Doing Business As: DERMATOPATHOLOGY CENTER
  • CLIA Number: 46D0523887
  • Address: 168 E 5900 S
    STE C104
    MURRAY, UT
    ZIP 84107
  • Phone: (801) 261-3007

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NPI Details

SKIN PATHOLOGY CONSULTANTS OF UTAH is a dermatopathology pathology in Murray, UT. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. SKIN PATHOLOGY CONSULTANTS OF UTAH NPI is 1548308067. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dermatopathology Center.

The provider's business location address is:

168 E 5900 S
STE C104
MURRAY, UT
ZIP 84107-287
Phone: (801) 261-3007
Fax: (801) 263-6703

The provider's authorized official is Patricia Ann Vitale .
The authorized official title is Director Led and has the following contact phone number (801) 261-3007.

The CLIA number assigned to this NPI record is 46D0523887 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 10/29/2012.

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
1207ZD0900XPathologyDermatopathology5228084-1205UTAHYes

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
11558466177OTHERINDIVIDUAL NPI NUMBER
2140649593001MEDICAIDUTAH
3000710003MEDICARE PINUTAH

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: 3/30/2025

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