OrganizationActive
Retirement Place, Inc.
NPI 1407004393 · Clinical Medical Laboratory · Bountiful, UT
Provider details
- NPI number
- 1407004393
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Retirement Living Group, Inc.
- Organization subpart
- Yes
- Authorized official
- Gary Taylor, President(801) 966-4286
- License
- 46D1005751 (UT)
Specialties & taxonomies
Laboratories
Practice location
1150 S Main St
Bountiful, UT 84010-6351
Phone: (801) 966-4286
Approximate (ZIP-level) locationGet directions
Mailing address
1150 S Main St
Bountiful, UT 84010-6351
Other names (DBA / former)
- Doing business as
- Heritage Place
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2008-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.