Centennial State Lab, LLC

NPI #1750990552 in Golden, Colorado

Provider Information

NPI Number
1750990552
Entity Type
Organization
Organization Name
Centennial State Lab, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 28, 2020
Last Updated
Jul 28, 2020

Practice Location

Address
651 CORPORATE CIR STE 104
City
Golden
ZIP Code
80401-5652
Phone
(303) 800-2595

Authorized Official

Name
STEPHANIE L BROWN
Title
DIRECTOR OF OPERATIONS
Phone
(719) 284-3522

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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