| NPI | 1316267164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROLL LYNN VELTMANN Owner 303-945-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX CLAI45D 051736) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2011-01-31 |