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1649829987
CENTENNIAL STATE LAB, LLC
COLORADO SPRINGS, CO
NPI
1649829987
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Entity Type
Organization
Authorized Contact
STEPHANIE BROWN
Owner
719-284-3522
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2019-09-10
Last Update Date
2020-01-09
Business Address
CENTENNIAL STATE LAB, LLC
4775 CENTENNIAL BLVD STE 120
COLORADO SPRINGS, CO 80919-3309
Phone number: 719-284-3522
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Mailing Address
CENTENNIAL STATE LAB, LLC
PO BOX 15351
SPRINGFIELD, MA 01115-5351
Phone number:
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