| NPI | 1376288290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TRUONG Manager 720-207-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |