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Organization
BIOEMULATION LAB AND IMAGING INC
Active
Organization
BIOEMULATION LAB AND IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T JORGENSEN DMD (OWNER)
(720) 289-7001
Entity
Organization
Contact information
Practice address
1475 PINE GROVE RD, STEAMBOAT SPRINGS, CO 80487-8803
(720) 289-7001
Mailing address
1475 PINE GROVE RD, STEAMBOAT SPRINGS, CO 80487-8803
(720) 289-7001
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
292200000X
Dental Laboratory
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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