| NPI | 1720835077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY A CARWILE General Manager 970-249-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |