PROGENITOR MDX, INC
NPI 1841887833
Pathology - Clinical Laboratory Director, Non-physician in Salt Lake City, UT

Active since December 24, 2020
675 S ARAPEEN DR # 103B, SALT LAKE CITY, UT 84108(877) 502-4748 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2021, Dec 24, 2020 (2 updates tracked since 2020).

About Progenitor Mdx, Inc NPPES

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

PROGENITOR MDX, INC (NPI 1841887833) is a healthcare organization registered as a clinical laboratory director, non-physician in Salt Lake City, Utah and active in the NPI registry since December 2020. The organization lists Gary R Sams, Physician, as its authorized official.

NPPES Registry Identity

NPI1841887833
Entity TypeOrganization
Primary Taxonomy247ZC0005X
Legal Business NamePROGENITOR MDX, INC
Location Address675 S ARAPEEN DR # 103BSalt Lake City, UT 84108-1223
Mailing Address675 S Arapeen Dr # 103bSalt Lake City, UT 84108-1223 · (877) 502-4748
Organization SubpartNo
Authorized OfficialGary R SamsPhysician · (877) 502-4748
Enumeration DateDecember 24, 2020
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
NPI 1841887833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
675 S ARAPEEN DR # 103B, Salt Lake City, UT 84108

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Progenitor Mdx, Inc's NPI number?

The NPI number for Progenitor Mdx, Inc is 1841887833. It was assigned to this organization in the NPPES registry on December 24, 2020.

Where is Progenitor Mdx, Inc located?

Progenitor Mdx, Inc is located at 675 S Arapeen Dr # 103B, Salt Lake City, UT 84108. The listed phone number is (877) 502-4748.

What is Progenitor Mdx, Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Progenitor Mdx, Inc was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.