| NPI | 1669686762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGOR BOURNAZIAN President 719-570-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO 06D1066661) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |