| NPI | 1952172165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BEAVER PFS Analyst 970-252-2691 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-10-18 |