Healthcare Provider Details

I. General information

NPI: 1710807920
Provider Name (Legal Business Name): SALIL BHOWMIK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2749 E PARLEYS WAY
SALT LAKE CITY UT
84109-1660
US

IV. Provider business mailing address

2749 E PARLEYS WAY
SALT LAKE CITY UT
84109-1660
US

V. Phone/Fax

Practice location:
  • Phone: 801-990-6600
  • Fax: 801-990-0640
Mailing address:
  • Phone: 801-990-6600
  • Fax: 801-990-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: