| NPI | 1598478059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA GIBSON CFO 970-493-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-03-14 |