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Internal Medicine, Clinical & Laboratory Immunology

IMMUNOLOGY DIVISION DEPARTMENT OF UNIVERSITY OF UTAH

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1891857835 · enumerated 2006-12-15 · record updated 2009-04-14. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: JANELL MADONNA, Director of Contracting and PE · (801) 587-6464

Addresses and phones

Specialties

  • Internal Medicine 207R00000X
  • Internal Medicine, Infectious Disease 207RI0200X
  • Internal Medicine, Clinical & Laboratory Immunology 207RI0001X · Primary

Locations and evidence

  • Practice location SALT LAKE CITY, UT, 841320001
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.