Organization
WESTERN HEALTH AND SAFETY
Active
Other names
United Diagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BRADLEY SISSON MD (PRINCIPLE)
(970) 221-9451
Entity
Organization
Contact information
Practice address
7251 W 20TH ST, BULDING N #2, GREELEY, CO 80634
(970) 776-3190
(970) 416-9676
Mailing address
PO BOX 889, LOVELAND, CO 80539-0889
(970) 776-3190
(970) 416-9676
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
06D2058723
CO
Other
Enumeration date
07/11/2013
Last updated
07/12/2018
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