| NPI | 1912666215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER CULBERTSON President 303-968-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-01-12 |