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Contact Information

GRANITE PEAKS PATHOLOGY II LLC.
1393 E SEGO LILY DR
SANDY, UT84092-4350
 Phone: 801-619-9000
 Fax: 801-572-7616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GRANITE PEAKS PATHOLOGY II LLC.

NPI # 1205387008
LBN Legal business name GRANITE PEAKS PATHOLOGY II LLC.
Authorized official ROBERT BARNETT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2016
Last updated 10/18/2016 - About 10 years ago
Identifiers
UT License # 2424607-1205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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