| NPI | 1316110588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER JESS CLIFFORD President 719-550-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO CLIA06D0669295) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |