Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELYSIUM LABSOURCE
Active OrganizationELYSIUM LABSOURCE is a Physiological Laboratory organization located in BLUFFDALE, Utah. NPI 1639560154 is currently active in the NPPES registry. Verify at CMS.
Physiological Laboratory · BLUFFDALE, UT
Registration Details
- NPI Number
- 1639560154
- Provider Type
- Organization
- NPI Issued
- Feb 6, 2015 (11.504329748112 yrs)
- Last Updated
- Mar 1, 2015
- License
-
46D2091373 (UT)
Practice Information
- Address
-
2435 W SPENCER CREST DRBLUFFDALE, UT, 840653048Browse UT providers · Browse ZIP 84065
- Phone
- 8017099419
- Primary Specialty
-
Physiological Laboratory
293D00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.