PREDICTIVE LABORATORIES, INC. (NPI# 1588229041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588229041 |
| Entity Type | Organization |
| Organization Name | PREDICTIVE LABORATORIES, INC. |
| Practice Address |
2749 E Parleys Way Ste 100 Salt Lake City UT 84109-1638 |
| Practice Telephone | 8554973636 |
| Practice Fax Number | 8889729124 |
| Mailing Telephone | 8554973636 |
| Mailing Fax Number | 8889729124 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | PAUL EVANS (CEO) |
| Authorized Official Telephone | 8015102306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
Allopathic & Osteopathic Physicians | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREDICTIVE LABORATORIES, INC. | 2749 E. Parlays Way, Suite 100, Salt Lake City, Utah 84109 |
| Street Address |
2749 E PARLEYS WAY STE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84109-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033249 | Arches Research, Inc. | Clinical Medical Laboratory | 1960 S 4250 W, Salt Lake City, UT 84104-4836 | 2020-04-29 |
| 1750915658 | Idbydna Inc. | Clinical Medical Laboratory | 675 S Arapeen Dr Ste 301, Salt Lake City, UT 84108-1223 | 2020-02-28 |
| 1700420361 | Renalytix Ai, Inc. | Clinical Medical Laboratory | 421 S Wakara Way Ste 309, Salt Lake City, UT 84108-3549 | 2019-11-06 |
| 1154884575 | Heredilab, Inc | Clinical Medical Laboratory | 1060 E 100 S Ste 109, Salt Lake City, UT 84102-4303 | 2019-04-11 |
| 1760965719 | Valleylab | Clinical Medical Laboratory | 4460 S Highland Dr Ste 110, Salt Lake City, UT 84124-3550 | 2018-09-14 |
| 1205323300 | Laboratory Corporation of America | Clinical Medical Laboratory | 1160 E 3900 S Ste 1200, Salt Lake City, UT 84124-1251 | 2018-04-16 |
| 1154855690 | Navican Genomics Inc. | Clinical Medical Laboratory | 341 S Main St Ste 200, Salt Lake City, UT 84111-3463 | 2017-04-11 |
| 1679948756 | Crossroads Laboratory, LLC | Clinical Medical Laboratory | 6337 S Highland Dr Ste 110, Salt Lake City, UT 84121-2107 | 2015-12-01 |
| 1508125196 | Ethigen, LLC | Clinical Medical Laboratory | 1904 Michigan Ave, Salt Lake City, UT 84108-1324 | 2012-05-16 |
| 1699041723 | Omega Wellness Institute, LLC | Clinical Medical Laboratory | 770 E South Temple Ste 100, Salt Lake City, UT 84102-1689 | 2012-03-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
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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.