OrganizationActive
Affiliated Genetics, Inc.
NPI 1255770491 · Clinical Medical Laboratory · Salt Lake City, UT
Provider details
- NPI number
- 1255770491
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Kenneth Ward, Chief Medical Officer(801) 582-4200
- License
- 11808800-002-STC (UT)
Specialties & taxonomies
Laboratories
Practice location
2749 E Parleys Way
Suite 100
Salt Lake City, UT 84109-1660
Phone: (801) 582-4200
Fax: (801) 582-8460
Approximate (ZIP-level) locationGet directions
Mailing address
2749 E Parleys Way
Salt Lake City, UT 84109-1660
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2013-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.