NPI Details
MYRIAD GENETIC LABORATORIES, INC. is a clinical medical laboratory in Salt Lake City, 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. MYRIAD GENETIC LABORATORIES, INC. NPI is 1669484473. The provider is registered as an organization entity type.
The provider's business location address is:
322 N 2200 W
SALT LAKE CITY, UT
ZIP 84116-922
Phone: (801) 584-3600
Fax: (801) 584-3615
The provider's authorized official is Christopher D Ho .
The authorized official title is Sr. Vp Payer Markets and has the following contact phone number (801) 584-3600.
The CLIA number assigned to this NPI record is 46D2275645 - 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.
- Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants (HCPCS:81162)
- Gene analysis of prostate tumor tissue, profiling by real-time rt-pcr of 46 genes (HCPCS:81541)
- Molecular pathology procedure (HCPCS:81479)
- Dna gene analysis (brca1, dna repair associated and brca2, dna repair associated) for detection of mutations associated with breast cancer (HCPCS:0172U)
- Preparation of specimen, manual (HCPCS:88381)
- Gene analysis (breast cancer 1 and 2) for 185delag, 5385insc, 6174delt variants (HCPCS:81212)
- Mrna gene expression analysis of 12 genes in breast tumor tissue (HCPCS:81522)
- Gene analysis (breast cancer 1 and 2) for duplication or deletion variants (HCPCS:81164)
The enumeration date for this NPI number is 8/12/2006 and was last updated on 1/27/2025.
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 | | 46D0880690 | 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 | 706248507 | MEDICAID | MISSOURI | |
| 2 | 56130236 | MEDICAID | COLORADO | |
| 3 | 82350800 | MEDICAID | WISCONSIN | |
| 4 | LB323UT | MEDICAID | ALASKA | |
| 5 | 010210186 | MEDICAID | VIRGINIA | |
| 6 | 02668124 | MEDICAID | NEW YORK | |
| 7 | 200508920A | MEDICAID | INDIANA | |
| 8 | 409661400 | MEDICAID | MARYLAND | |
| 9 | 46D2094383 | OTHER | UTAH | CLIA |
| 10 | 912768 | MEDICAID | ARIZONA | |
| 11 | 200062220A | MEDICAID | OKLAHOMA | |
| 12 | 42122333 | MEDICAID | NEW MEXICO | |
| 13 | 46D2094383 | MEDICAID | UTAH | |
