Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elysium Labsource

Organization Physiological Laboratory · NPI 1639560154

Elysium Labsource is a Physiological Laboratory in Bluffdale, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015

Practice location Address checks out

2435 W Spencer Crest Dr
Bluffdale, UT 84065-3048
Phone: (801) 709-9419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X · Licence 46D2091373 (UT)

Record details

NPI number1639560154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Harris — Medical Director · (801) 465-8004
Other names Elysium Laboratory Service
NPI enumeratedFebruary 6, 2015
Last updated in NPPESMarch 1, 2015
Mailing address2435 W Spencer Crest Dr, Bluffdale, UT 84065-3048