Organization · Type 2 NPI

Wasatch Behavioral Health Special Service District

Clinical Medical Laboratory · Orem, UT

NPI number 1669257556 Active

Practice location

255 S Orem Blvd
Orem, UT 84058-3009

Call (801) 373-4760 Map

Mailing address

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

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…

9 other providers at this address

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NPI record

NPI: 1669257556
Entity type: Organization (Type 2)
Issued: Aug 29, 2023
Last updated: Jul 18, 2025
Status: Active
Subpart: Yes of Wasatch Behavioral Health Special Service District

Other names

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Wasatch Behavioral Health Special Service District Laboratory · other name
Wasatch Behavioral Health Special Service District Laboratory · other name

Authorized official

Juergen E Korbanka, PhD
Executive Director
(801) 852-4703

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About NPI 1669257556

Wasatch Behavioral Health Special Service District's National Provider Identifier is 1669257556, issued on Aug 29, 2023. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Orem, UT. The record was last updated on Jul 18, 2025.