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NPISignal

Individual Healthcare Provider

Benjamin Kukull, MD

NPI Record: ActivePathology — Molecular Genetic Pathology
NPI1588050157
Salt Lake City, Utah

Provider's NPPES record last updated: June 11, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1588050157
Primary Specialty
Pathology — Molecular Genetic Pathology
Practice Location
Salt Lake City, Utah
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:36 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pathology

    Molecular Genetic Pathology

    Allopathic & Osteopathic Physicians

    Primary

    A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.

    Taxonomy code 207ZP0007X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Pathology (Utah)
11184892-1205
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

15 Medical Dr Ste 1100

Salt Lake City, Utah 84112-1100

Phone: (801) 581-4390

Additional Practice Location

3181 Sw Sam Jackson Park Rd

Portland, Oregon 97239-3011

Phone: (503) 494-8211

Record Information

Enumeration Date
April 10, 2015
Provider's NPPES Record Last Updated
June 11, 2019
NPISignal NPPES Dataset
August 2026

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