| NPI | 1750990552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L BROWN Director Of Operations 719-284-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |