| NPI | 1619073947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK CAMPBELL Administrator 303-776-1234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO 10251530000) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-11-15 |