| NPI | 1952777831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SCOTT KEPHART President 719-418-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO 06D2108666) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2022-03-29 |