OrganizationActive
Wasatch Behavioral Health Special Service District
NPI 1669257556 · Clinical Medical Laboratory · Orem, UT
Provider details
- NPI number
- 1669257556
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Wasatch Behavioral Health Special Service District
- Organization subpart
- Yes
- Authorized official
- Juergen Korbanka, Executive Director(801) 852-4703
Specialties & taxonomies
Laboratories
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
255 S Orem Blvd
Orem, UT 84058-3009
Phone: (801) 373-4760
Street-level locationGet directions
Mailing address
750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Other names (DBA / former)
- Other name
- Wasatch Behavioral Health Special Service District Laboratory
- Other name
- Wasatch Behavioral Health Special Service District Laboratory
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.