UNIVERSAL DIAGNOSTIC TESTING, LLC (NPI# 1083702450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083702450 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL DIAGNOSTIC TESTING, LLC |
| Other Organization Name | UNIVERSAL DIAGNOSTIC TESTING, LLC |
| Practice Address |
10712 South 1300 East Sandy UT 84094 |
| Practice Telephone | 8002585329 |
| Practice Fax Number | 8885030041 |
| Mailing Telephone | 8002585329 |
| Mailing Fax Number | 8885030041 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | MR. MICHAEL ROBERT TREACY (OWNER/CEO) |
| Authorized Official Telephone | 8016196793 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSAL DIAGNOSTIC TESTING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 56814 | UT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BLUE CROSS BLUE SHIELD | 870502004 | 01 |
| Other Name | Type Code |
|---|---|
| Universal Diagnostic Testing, LLC | Former Legal Business Name - Organization |
| Street Address |
10712 SOUTH 1300 EAST |
| City | SANDY |
| State | UT |
| Zip Code | 84094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1205481363 | Reveal Laboratories LLC | Clinical Medical Laboratory | 7370 S Creek Rd Ste 204, Sandy, UT 84093-6113 | 2019-08-06 |
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| 1376714907 | Metwest Inc | Clinical Medical Laboratory | 9829 S 1300 E, Ste 302, Sandy, UT 84094-4000 | 2008-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.