Provider Demographics
NPI:1871037879
Name:ABILITY DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:ABILITY DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BROOKS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-899-3828
Mailing Address - Street 1:858 S AUTO MALL DR
Mailing Address - Street 2:#102
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2497
Mailing Address - Country:US
Mailing Address - Phone:801-899-3828
Mailing Address - Fax:
Practice Address - Street 1:858 S AUTO MALL DR
Practice Address - Street 2:#102
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2497
Practice Address - Country:US
Practice Address - Phone:801-899-3828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory