Healthcare Provider Details

I. General information

NPI: 1427973114
Provider Name (Legal Business Name): CHEAP EASY LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

776 W 2075 S
SYRACUSE UT
84075-9290
US

IV. Provider business mailing address

776 W 2075 S
SYRACUSE UT
84075-9290
US

V. Phone/Fax

Practice location:
  • Phone: 469-617-9599
  • Fax:
Mailing address:
  • Phone: 469-617-9599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEAN ALTICE
Title or Position: OWNER
Credential:
Phone: 469-617-9599