OrganizationActive
Confederated Tribes of the Goshute Reservation
NPI 1265892012 · Clinical Medical Laboratory · Salt Lake City, UT
Provider details
- NPI number
- 1265892012
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Linda Thatcher, Billing(801) 359-2256
- License
- 9453799-8906 (UT)
Specialties & taxonomies
Laboratories
Practice location
660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Phone: (801) 359-2256
Fax: (801) 364-4392
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 61 Box 6104
Ibapah, UT 84034-6003
Other names (DBA / former)
- Doing business as
- Sacred Circle Health Care
Registry dates
- Enumerated
- 2016-03-07
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.