| Advanced Diagnostic Fna Biopsy Clinic, Llc | |
|
400 S. Mccaslin Blvd. Suite 213 Louisville CO 80027 | |
| (970) 214-7849 | |
| Not Available |
| Full Name | Advanced Diagnostic Fna Biopsy Clinic, Llc |
|---|---|
| Speciality | Pathology - Cytopathology |
| Location | 400 S. Mccaslin Blvd., Louisville, Colorado |
| Authorized Official Name and Position | Rose Montoya (DIRECTOR/CYTOPATHOLOGIST) |
| Authorized Official Contact | 9702147849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Diagnostic Fna Biopsy Clinic, Llc 400 S Mccaslin Blvd Ste 213 Superior CO 80027-8700 Ph: (970) 214-7849 | Advanced Diagnostic Fna Biopsy Clinic, Llc 400 S. Mccaslin Blvd. Suite 213 Louisville CO 80027 Ph: (970) 214-7849 |
| NPI Number | 1386019495 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386019495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DR.0056076 (Colorado) | Secondary |
| 207ZC0500X | Pathology - Cytopathology | DR.0056076 (Colorado) | Primary |
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