State of Colorado

NPI #1396995601 in La Junta, Colorado

Provider Information

NPI Number
1396995601
Entity Type
Organization
Organization Name
State of Colorado
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 23, 2008
Last Updated
Sep 23, 2008

Practice Location

Address
1802 COLORADO AVE
ZIP Code
81050-3400
Phone
(719) 384-3102

Authorized Official

Name
MR. JAMES RIZZUTO
Title
PRESIDENT
Phone
(719) 384-6822

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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