Organization · Type 2 NPI

Centennial State Lab, LLC

Clinical Medical Laboratory · Colorado Springs, CO

NPI number 1649829987 Active

Practice location

4775 Centennial Blvd Ste 120
Colorado Springs, CO 80919-3309

Call (719) 284-3522 Map

Mailing address

PO Box 15351
Springfield, MA 01115-5351

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

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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About NPI 1649829987

Centennial State Lab, LLC's National Provider Identifier is 1649829987, issued on Sep 10, 2019. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jan 9, 2020.