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ELYSIUM LABORATORY SERVICE
NPI 1639560154
Physiological Laboratory in Bluffdale, UT

Active since February 06, 2015
2435 W SPENCER CREST DR, BLUFFDALE, UT 84065(801) 709-9419 Get Directions Write a Review

NPPES record last updated: March 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elysium Laboratory Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELYSIUM LABORATORY SERVICE (NPI 1639560154) is a healthcare organization registered as a physiological laboratory in Bluffdale, Utah and active in the NPI registry since February 2015. The organization lists Michael Harris, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1639560154
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameELYSIUM LABSOURCE
Location Address2435 W SPENCER CREST DRBluffdale, UT 84065-3048
Mailing Address2435 W Spencer Crest DrBluffdale, UT 84065-3048
Phone(801) 709-9419
Organization SubpartNo
Authorized OfficialMichael HarrisMedical Director · (801) 465-8004
Enumeration DateFebruary 6, 2015
Last NPPES UpdateMarch 1, 2015
✔ NPI 1639560154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
License✔ Licensed in UT · 46D2091373
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
2435 W SPENCER CREST DR, Bluffdale, UT 84065
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Other Names 1

Other NameElysium Laboratory Service

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARCADIA RESIDENTIAL TREATMENT CENTERS INC.
Substance Abuse Rehabilitation Facility
2435 W SPENCER CREST DR
BLUFFDALE, UT 84065
Salt Lake County (801) 709-9419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elysium Labsource's NPI number?

The NPI number for Elysium Labsource is 1639560154. It was assigned to this organization in the NPPES registry on February 6, 2015. The provider is also known as Elysium Laboratory Service.

Where is Elysium Labsource located?

Elysium Labsource is located at 2435 W Spencer Crest Dr, Bluffdale, UT 84065. The listed phone number is (801) 709-9419.

What is Elysium Labsource's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Elysium Labsource was last updated on March 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.