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Organization
UNITED PATHOLOGY SERVICES PC
Active
Organization
UNITED PATHOLOGY SERVICES PC
Active
Other names
UNITED PATHOLOGY SERVICES PC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L BOYER (DIRECTOR OF OPERATIONS)
(970) 663-2742
Entity
Organization
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
(970) 667-0847
Mailing address
PO BOX 7328, LOVELAND, CO 80537-0328
(970) 663-2742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04004701
—
CO
01
—
06D0515816
CLIA
CO
01
—
CF8671
RAILROAD MEDICARE
CO
Enumeration date
06/03/2006
Last updated
01/30/2025
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