BOURGET HEALTH SERVICES, INC (NPI# 1679800056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679800056 |
| Entity Type | Organization |
| Organization Name | BOURGET HEALTH SERVICES, INC |
| Other Organization Name | PATHOLOGY ASSOCIATES MEDICAL LABORATORIES |
| Practice Address |
1141 E 3900 S Salt Lake City UT 84124-1215 |
| Mailing Address |
Po Box 2695 Spokane WA 99220-2695 |
| Practice Telephone | 5097558600 |
| Mailing Telephone | 5097558600 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | KURT ROGERS (CFO) |
| Authorized Official Telephone | 5097558903 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOURGET HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Pathology Associates Medical Laboratories | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BOURGET HEALTH SERVICES, INC. | 1801 Lind Ave Sw, Renton, WA 98057-3368 |
| Street Address |
1141 E 3900 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649734989 | Megan Curtice | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2019-01-30 |
| 1730653510 | Raylina Perez | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2019-01-15 |
| 1215429329 | Sydney Dahmen | Spec/Tech, Health Info | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-06-04 |
| 1952898165 | Katie Rose Mcmahon | Counselor | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-04-13 |
| 1831692052 | Lillian Olivia Rodriguez | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-03-14 |
| 1346740503 | Melyssa L Perkes | Social Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-02-14 |
| 1952770844 | Kira K Pedroza | Social Worker | 1141 E 3900 S, Suite 170, Salt Lake City, UT 84124-1215 | 2015-09-21 |
| 1043563836 | Jared Andes | Social Worker | 1141 E 3900 S, Ste A170, Salt Lake City, UT 84124-1215 | 2012-10-18 |
| 1497044168 | Laura Joy Haber | Social Worker | 1141 E 3900 S, Suite A170, Salt Lake City, UT 84124-1215 | 2011-04-04 |
| 1851628234 | Pathology Associates Medical Laboratories, LLC | Clinical Medical Laboratory | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2009-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| 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 | 84124 |
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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.