Organization · Type 2 NPI

Confederated Tribes of the Goshute Reservation

Clinical Medical Laboratory · Salt Lake City, UT

NPI number 1265892012 Active

Practice location

660 S 200 E Ste 250
Salt Lake City, UT 84111-3846

Call (801) 359-2256 Map

Fax (801) 364-4392

Mailing address

HC 61 Box 6104
Ibapah, UT 84034-6003

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X9453799-8906 (UT)

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 det…

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About NPI 1265892012

Confederated Tribes of the Goshute Reservation's National Provider Identifier is 1265892012, issued on Mar 7, 2016. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 11, 2025.