| Broomfield Diagnostics LLC | |
|
6363 W 120th Ave Suite 302 Broomfield CO 80020-0300 | |
| (303) 635-2225 | |
| (303) 635-1078 |
| Full Name | Broomfield Diagnostics LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6363 W 120th Ave, Broomfield, Colorado |
| Authorized Official Name and Position | Lawrence Janowski (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3036352225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broomfield Diagnostics LLC 6363 W 120th Ave Suite 302 Broomfield CO 80020-0300 Ph: (303) 635-2225 | Broomfield Diagnostics LLC 6363 W 120th Ave Suite 302 Broomfield CO 80020-0300 Ph: (303) 635-2225 |
| NPI Number | 1679811582 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679811582 | NPI | - | NPPES |
| 41654021 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42224 (Colorado) | Primary |
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