OrganizationActive
Ethigen, LLC
NPI 1508125196 · Clinical Medical Laboratory · Salt Lake City, UT
Provider details
- NPI number
- 1508125196
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Eric Dyer, President, Ceo(888) 578-7872
Specialties & taxonomies
Laboratories
Practice location
1904 Michigan Ave
Salt Lake City, UT 84108-1324
Phone: (888) 578-7872
Approximate (ZIP-level) locationGet directions
Mailing address
1904 Michigan Ave
Salt Lake City, UT 84108-1324
Registry dates
- Enumerated
- 2012-05-16
- Last updated
- 2012-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.