| NPI | 1285055319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J REEVES CFO 719-776-5911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO 06D0517383) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |