| NPI | 1538847546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCVINUA Credentialing Specialists 720-541-7643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-04-16 |