Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIRA BASUINO DO
NPI 1689478380
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Q: What is Mira Basuino's NPI number?

The NPI number for Mira Basuino is 1689478380. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Q: What is Mira Basuino's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Mira Basuino was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.

Active since April 02, 2025

15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 581-4390 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 16, 2026, Apr 2, 2025 (2 updates tracked since 2025).

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About Mira Basuino Do NPPES

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

MIRA BASUINO DO (NPI 1689478380) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (14308026-1204) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1689478380

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameMIRA BASUINOCredential: DO

Location Address15 N MEDICAL DR STE 1100Salt Lake City, UT 84112-1100

Mailing Address15 N Medical Dr Ste 1100Salt Lake City, UT 84112-1100 · (801) 581-2507

Phone(801) 581-4390

Sole ProprietorNo

Enumeration DateApril 2, 2025

Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1689478380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in UT · 14308026-1204

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

15 N MEDICAL DR STE 1100, Salt Lake City, UT 84112

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Other Providers at the Same Location NPPES 20

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

JOHN M. DAINES MD

Pathology (Anatomic Pathology & Clinical Pathology)