Organization Name: | MONITORING ASSOCIATES |
NPI Number: | 1407187701 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICK C LUEKENGA (OWNER) |
Mailing Address: | 1817 W 800 N Salt Lake City |
State: | UT US |
Postal Code: | 84025 |
Phone Number: | 5058367894 |
Fax Number: | 8883154512 |
NPI Enumeration Date: | 01/26/2010 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |