| NPI | 1174900187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY M BRODERICK Member 303-515-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO 06D2099282) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-08-12 |