| NPI | 1528581394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SUSAN VERITY Owner 719-359-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO 06D2126398) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |