Organization · Type 2 NPI

County of Weld Board of County Commissioners

Clinical Medical Laboratory · Greeley, CO

NPI number 1487005245 Active

Practice location

1555 N 17th Ave, 2nd Floor, Environmental Health
Greeley, CO 80631-9117

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	06D0665967 (CO)

Clinical Medical Laboratory: (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1487005245
Entity type: Organization (Type 2)
Issued: Jun 23, 2016
Last updated: Jan 5, 2017
Status: Active

Other names

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Weld County Dept of Public Health & Environment Independent Lab · doing business as

Authorized official

Mark E Wallace, MD, M.P.H.
Executive Director
(970) 304-6410

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487005245

County of Weld Board of County Commissioners's National Provider Identifier is 1487005245, issued on Jun 23, 2016. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Greeley, CO. The record was last updated on Jan 5, 2017.