| NPI | 1730351255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG GOETZ CEO 303-371-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2015-05-15 |