Individual provider · Type 1 NPI

Mira Basuino, DO

Anatomic Pathology & Clinical Pathology Physician · Salt Lake City, UT

NPI number 1689478380 Active

Practice location

15 N Medical Dr Ste 1100
Salt Lake City, UT 84112-1100

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Anatomic Pathology & Clinical Pathology Physician Primary	207ZP0102X	14308026-1204 (UT)

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1689478380

Mira Basuino, DO's National Provider Identifier is 1689478380, issued on Apr 2, 2025. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 16, 2026.