# UNITED PATHOLOGY SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNITED PATHOLOGY SERVICES PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477591436
- **Authorized official:** ROBIN L BOYER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (970) 663-2742

## Contact information

- **Practice address:** 1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
- **Practice address phone:** (720) 718-7000
- **Practice address fax:** (970) 667-0847
- **Mailing address:** PO BOX 7328, LOVELAND, CO 80537-0328
- **Mailing address phone:** (970) 663-2742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 01/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04004701 | — | CO |
| 01 | — | 06D0515816 | CLIA | CO |
| 01 | — | CF8671 | RAILROAD MEDICARE | CO |