Scltdi Jv, LLC

NPI #1942836549 in Golden, Colorado

Provider Information

NPI Number: 1942836549
Entity Type: Organization
Organization Name: Scltdi Jv, LLC
Primary Specialty: Physiological Laboratory
Enumeration Date: Mar 16, 2020
Last Updated: Nov 8, 2023

Practice Location

Address: 400 INDIANA ST STE 210
City: Golden
State: Colorado
ZIP Code: 80401-5044
Phone: (720) 779-3200

Authorized Official

Name: KATRINA ROELLE
Title: DIRECTOR OF CREDENTIALING
Phone: (614) 689-1691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X
Physiological Laboratory	293D00000X	Primary

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