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Progenitor Mdx, Inc
Clinical Laboratory Director (Non-physician) in Salt Lake City, Utah
NPI 1841887833

Progenitor Mdx, Inc is a Clinical Laboratory Director (Non-physician) based in Salt Lake City, UT and is specialized in Clinical Laboratory Director, Non-physician. Progenitor Mdx, Inc practices in Salt Lake City, UT. The NPI Number for Progenitor Mdx, Inc is 1841887833 and holds a License No. (Utah).

The current practice location address for Progenitor Mdx, Inc is 675 S Arapeen Dr # 103B, Salt Lake City, UT and can be reached out via phone at 877-502-4748. You can also correspond with Progenitor Mdx, Inc through the mailing address at 675 S ARAPEEN DR # 103B, SALT LAKE CITY, UT - 84108-1223 (mailing address contact number: 877-502-4748).

Location: 675 S Arapeen Dr # 103B, Salt Lake City, UT, 84108-1223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841887833
Provider Name
Progenitor Mdx, Inc
Credential
Provider Entity Type
Organization
Address
675 S Arapeen Dr # 103B, Salt Lake City, UT, 84108-1223
Phone Number
877-502-4748
Fax Number
Provider Enumeration Date
12/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
675 S Arapeen Dr # 103B
City
Salt Lake City
State
Utah
Zip
84108-1223
Phone Number
877-502-4748
Fax Number
person
Provider Business Mailing Address Details
Address
675 S Arapeen Dr # 103B
City
Salt Lake City
State
Utah
Zip
84108-1223
Phone Number
877-502-4748
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
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Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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