| NPI | 1659669430 |
|---|---|
| Doing Business As | TRIDENTCARE LABORATORY |
| Doing Business As | TRIDENTCARE AT HOME |
| Doing Business As | TRIDENTCARE |
| Doing Business As | TRIDENTCARE IMAGING |
| Entity Type | Organization |
| Authorized Contact | SHAWNA FLETCHER Provider Relations Coordinator 303-307-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2020-03-04 |