Longmont Clinic Lab

NPI #1619073947 in Longmont, Colorado

Provider Information

NPI Number
1619073947
Entity Type
Organization
Organization Name
Longmont Clinic Lab
Subpart
Yes (part of a larger organization)
Parent Organization
LONGMONT CLINIC PC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 15, 2006
Last Updated
Nov 15, 2007

Practice Location

Address
1925 MOUNTAIN VIEW AVE
ZIP Code
80501-3128
Phone
(303) 776-1234

Authorized Official

Name
JACK CAMPBELL
Title
ADMINISTRATOR
Phone
(303) 776-1234

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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