| NPI | 1407077100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D. CONWELL Owner 720-208-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO 1730) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |