<Unavail>

LBN: Elysium Labsource
<Unavail> is an health care organization with primary practice located at 2435 W Spencer Crest Dr , Bluffdale UT 84065-3048. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Elysium Labsource can be contacted via phone (801) 709-9419, or through Harris, Michael via phone (801) 465-8004.

Contact Information

Primary practice address
2435 W Spencer Crest Dr Bluffdale UT 84065-3048
Phone: (801) 709-9419
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, Michael Doctor of Medicine (MD)
Phone: (801) 465-8004

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X 46D2091373 Utah

Profile Details

NPI number 1639560154
LBN Legal business name Elysium Labsource
DBA Doing business as <Unavail>
Authorized official Harris, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2015
Last updated Mar 1st, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers