MEDICARE: ASSOCIATED REGIONAL AND UNIVERSITY PATHOLOGISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory		UT

General Provider Information

NPI Number	:	1376548271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED REGIONAL AND UNIVERSITY PATHOLOGISTS INC

Provider Business Mailing Address
First Line	:	PO BOX 27964
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0964
Country	:	US
Telephone Number	:	800-242-2787
Fax Number	:	801-584-5130

Provider Business Practice Location Address
First Line	:	500 CHIPETA WAY
Second Line	:	ATTN ACCOUNTS RECEIVABLE
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1221
Country	:	US
Telephone Number	:	800-242-2787
Fax Number	:	801-584-5255

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREW ALLEN THEURER
Credential	:
Telephone Number	:	801-584-5246

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/21/2022

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