NPI Provider: 1407854946
Contact Name: Treacy R Michael
Position: owner
Phone: (801) 566-6433
Universal Diagnostic Testing Information:
Universal Diagnostic Testing organization have npi 1407854946, taxonomy code is 291U00000X with license number is EXEMPT in . This Business address located in 9551 S 700 E, Sandy, UT 84070 Utah.
Practice Location
Address: 9551 S 700 E, Sandy, UT 84070
Phone: (801) 635-7183
Business Location
Address: 9551 S 700 E, Sandy, UT 84070
Phone: (801) 635-7183
Fax: (801) 304-0076
Taxonomy
Taxonomy Code: 291U00000X
License Number: EXEMPT
License Number of State: UT
Primary Taxonomy Switch: Y
Enumeration Date: 7/8/2005
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