IndividualActive
Alex Shacklette, MD
NPI 1700440252 · Molecular Genetic Pathology (Pathology) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1700440252
- Entity type
- Individual
- Primary specialty
- Molecular Genetic Pathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Student, Health Care
Practice location
Eccles Institute of Human Genetics: 15 N Medical Dr Rm
Salt Lake City, UT 84112-4108
Phone: (801) 581-2121
Approximate (ZIP-level) locationGet directions
Mailing address
Eccles Institute of Human Genetics: 15 N Medical Dr Rm
Salt Lake City, UT 84112-4108
Additional practice locations (1)
- 350 W 11th St Rm 4083Indianapolis, IN 46202-4108Phone: (317) 491-6000
Registry dates
- Enumerated
- 2019-04-30
- Last updated
- 2025-03-11
- Certified
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.