Myriad Genetic Laboratories, Inc.

LBN: Myriad Genetic Laboratories, Inc.
Myriad Genetic Laboratories, Inc. is an health care organization with primary practice located at 320 Wakara Way , Salt Lake City UT 84108-1214. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Myriad Genetic Laboratories, Inc. can be contacted via phone (801) 584-3600, or through Roa, Benjamin B. via phone (801) 584-3049.

Contact Information

Primary practice address
320 Wakara Way Salt Lake City UT 84108-1214
Phone: (801) 584-3600
Fax: (801) 883-3472
Website:
Map and Directions
Authorized official contact:
Name: Roa, Benjamin B. PH.D.
Phone: (801) 584-3049

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 46D0880690 Utah

Profile Details

NPI number 1669484473
LBN Legal business name Myriad Genetic Laboratories, Inc.
DBA Doing business as
Authorized official Roa, Benjamin B. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 18th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669484473 NPPES
New York MEDICAID 02668124
New York MEDICAID 56130236
New York MEDICAID 82350800
New York MEDICAID 409661400
New York MEDICAID 912768
New York MEDICAID 010210186
New York MEDICAID 200062220A
New York Other 46D2094383
New York MEDICAID LB323UT
New York MEDICAID 42122333
New York MEDICAID 46D2094383
New York MEDICAID 706248507
New York MEDICAID 200508920A

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