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NPI 1447664552ActiveOrganization· Physiological Laboratory· Sandy, UT

Physiological Laboratory in Sandy, Utah, registered in NPPES in June 2014. The authorized official on file is Doug Goetz, Ceo.

Overview

NPI1447664552
StatusActive
Entity typeOrganization
NPI issuedJun 17, 2014
Last updated in NPPESDec 5, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Physiological Laboratory Primary293D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years