OrganizationActive
Independent Histology Service LLC
NPI 1386728178 · Clinical Medical Laboratory · Woodland Hills, UT
Provider details
- NPI number
- 1386728178
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Leslie Hendricksen, Owner Director(801) 423-2334
Specialties & taxonomies
Laboratories
Practice location
930 S Homestead Dr
Woodland Hills, UT 84653-2084
Phone: (801) 423-2334
Fax: (801) 221-1899
Approximate (ZIP-level) locationGet directions
Mailing address
930 S Homestead Dr
Woodland Hills, UT 84653-2084
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.