NPI | 1619009388 |
---|---|
Doing Business As | OPTUM COLORADO SPRINGS |
Former Legal Business Name | OPTUMCARE COLORADO SPRINGS LLC |
Former Legal Business Name | DAVITA MEDICAL GROUP COLORADO SPRINGS LLC |
Former Legal Business Name | COLORADO SPRINGS HEALTH PARTNERS LLC |
Entity Type | Organization |
Authorized Contact | EMILY CASTILLO Associate Director Credentialing 702-480-2550 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2007-03-09 |
Last Update Date | 2024-10-18 |