| United Pathology Services PC | |
|
1750 E Ken Pratt Blvd Longmont CO 80504-5311 | |
| (720) 718-7000 | |
| (970) 667-0847 |
| Full Name | United Pathology Services PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1750 E Ken Pratt Blvd, Longmont, Colorado |
| Authorized Official Name and Position | Robin L Boyer (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9706632742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Pathology Services PC Po Box 7328 Loveland CO 80537-0328 Ph: (970) 663-2742 | United Pathology Services PC 1750 E Ken Pratt Blvd Longmont CO 80504-5311 Ph: (720) 718-7000 |
| NPI Number | 1477591436 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Medicare PECOS PAC ID | 5193614105 |
|---|---|
| Medicare Enrollment ID | O20040315000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477591436 | NPI | - | NPPES |
| 04004701 | Medicaid | CO | |
| CF8671 | Other | CO | RAILROAD MEDICARE |
| 06D0515816 | Other | CO | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 174400000X | Specialist | (NU) | Secondary |
| Provider Name | Carlyne D Cool |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982630554 PECOS PAC ID: 1658342951 Enrollment ID: I20040802000849 |
| Provider Name | Sharon Sams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043366719 PECOS PAC ID: 8820134950 Enrollment ID: I20091005000056 |
| Provider Name | Dawn Pavot |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972539534 PECOS PAC ID: 9234306341 Enrollment ID: I20120112000552 |
| Provider Name | Elizabeth Diane Settembre |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730516378 PECOS PAC ID: 9638466576 Enrollment ID: I20180604002285 |
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