Organization · Type 2 NPI

Progenitor Mdx, Inc

Clinical Laboratory Director (Non-physician) · Salt Lake City, UT

NPI number 1841887833 Active

Practice location

675 S Arapeen Dr # 103B
Salt Lake City, UT 84108-1223

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

About NPI 1841887833

Progenitor Mdx, Inc's National Provider Identifier is 1841887833, issued on Dec 24, 2020. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 6, 2021.