# PIKES PEAK DIAGNOSTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265099535
- **Authorized official:** TOBEY MONTOYA (OWNER)
- **Authorized official phone:** (719) 320-4155

## Contact information

- **Practice address:** 1300 S PAPAGO DR, PUEBLO WEST, CO 81007-2696
- **Practice address phone:** (719) 320-4155
- **Mailing address:** 1300 S PAPAGO DR, PUEBLO WEST, CO 81007-2696
- **Mailing address phone:** (719) 320-4155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2019
- **Last updated:** 05/22/2019