Centennial State Lab, LLC
Clinical Medical Laboratory in Colorado Springs, Colorado
1649829987- Practice location
- 4775 Centennial Blvd Ste 120, Colorado Springs, CO 80919-3309
- Phone
- 719-284-3522
- Fax
- —
- Last updated
- January 9, 2020
Centennial State Lab, LLC is a healthcare organization based in Colorado Springs, CO. Centennial State Lab, LLC practices in Colorado Springs, CO. The NPI Number for Centennial State Lab, LLC is 1649829987. The current practice location address for Centennial State Lab, LLC is 4775 Centennial Blvd Ste 120, Colorado Springs, CO 80919-3309 and can be reached out via phone at 719-284-3522.
Provider Profile Details
- NPI Number
- 1649829987
- Provider Name
- Centennial State Lab, LLC
- Provider Entity Type
- Organization
- Address
- 4775 Centennial Blvd Ste 120, Colorado Springs, CO 80919-3309
- Phone Number
- 719-284-3522
- Primary Taxonomy
- Clinical Medical Laboratory · 291U00000X
- Organization Subpart
- No
- Authorized Official
- Stephanie Brown · Owner · 719-284-3522
- Provider Enumeration Date
- September 10, 2019
- Last Update Date
- January 9, 2020
- Certification Date
- January 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4775 Centennial Blvd Ste 120
Colorado Springs, CO 80919-3309 - City
- Colorado Springs
- State
- Colorado
- Zip
- 80919-3309
- Phone Number
- 719-284-3522
Provider Business Mailing Address Details
- Address
- Po Box 15351
Springfield, MA 01115-5351 - City
- Springfield
- State
- MA
- Zip
- 01115-5351
License Information
- Taxonomy
- Clinical Medical Laboratory · 291U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Centennial State Lab, LLC?
The NPI number of Centennial State Lab, LLC is 1649829987. It was assigned on September 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Centennial State Lab, LLC?
Centennial State Lab, LLC is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X).
Where does Centennial State Lab, LLC practice?
The practice location is 4775 Centennial Blvd Ste 120, Colorado Springs, CO 80919-3309. The office can be reached at 719-284-3522 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649829987 directly on the NPPES registry website.