Longmont Clinic Lab in Longmont - Clinical Medical Laboratory
Longmont Clinic Lab - NPI 1619073947
Longmont Clinic Lab is a Clinical Medical Laboratory in Longmont, Colorado. Longmont Clinic Lab practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Longmont Clinic Lab is 1619073947. The last update date is 2007-11-15.
Longmont Clinic Lab's current location address is 1925 Mountain View Ave, Longmont, Colorado. You can contact this provider via phone number 3037761234 and fax number 7204943107. The mailing address for Longmont Clinic Lab is 1925 Mountain View Ave, Longmont, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Longmont Clinic Lab |
|---|---|
| Address | 1925 Mountain View Ave, Longmont, Colorado |
| Phone Number | 3037761234 |
| Fax Number | 7204943107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Campbell Jack |
| Telephone Number | 3037761234 |
NPI Number Detail
| NPI Number | 1619073947 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 1925 Mountain View Ave |
|---|---|
| City | Longmont |
| State | Colorado (CO) |
| Post Code | 805013128 |
| Phone Number | 3037761234 |
| Fax Number | 7204943107 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 10251530000 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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What is the Longmont Clinic Lab's unique identification number?
The Longmont Clinic Lab has been assigned the NPI (National Provider Identifier) Number 1619073947 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Longmont Clinic Lab located?
The Longmont Clinic Lab is located at 1925 Mountain View Ave, Longmont, CO 805013128.
What is Longmont Clinic Lab's specialized field of practice, and what is the corresponding taxonomy classification code?
The Longmont Clinic Lab's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619073947 to Longmont Clinic Lab?
The Longmont Clinic Lab received its 1619073947 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the information related to Longmont Clinic Lab most recently updated or refreshed?
The details pertaining to the Longmont Clinic Lab, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-15.
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