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NPI 1457087371 · Physiological Laboratory · Farmington, UT
Provider details
- NPI number
- 1457087371
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Martinez Marisela, President(562) 760-9801
Specialties & taxonomies
Laboratories
Practice location
240 N East Promontory Ste 200
Farmington, UT 84025-2950
Phone: (562) 760-9801
Approximate (ZIP-level) locationGet directions
Mailing address
240 N East Promontory Ste 200
Farmington, UT 84025-2950
Additional practice locations (1)
- 1190 E 5425 S Ste 205South Ogden, UT 84403-5193Phone: (562) 760-9801
Registry dates
- Enumerated
- 2022-07-25
- Last updated
- 2022-07-25
- Certified
- 2022-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.