Healthcare Provider Details

I. General information

NPI: 1396588984
Provider Name (Legal Business Name): PISCIENCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 N STATE ST STE G
LINDON UT
84042-1834
US

IV. Provider business mailing address

360 N STATE ST STE G
LINDON UT
84042-1834
US

V. Phone/Fax

Practice location:
  • Phone: 385-300-1556
  • Fax: 801-406-4943
Mailing address:
  • Phone: 385-300-1556
  • Fax: 801-406-4943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON CARTER
Title or Position: CO-OWNER
Credential: DC
Phone: 435-709-1447