Organization
COLORADO PATHOLOGY CONSULTANTS PC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
KRISTIE M DOLAN (VICE PRESIDENT)
(866) 697-8378
Entity
Organization
Contact information
Practice address
1600 PRAIRIE CENTER PKWY, BRIGHTON, CO 80601-4006
(877) 701-8188
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(877) 701-8188
(303) 403-3904
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
06D0513643
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017414
—
CO
01
—
06D0511273
CLIA
CO
01
—
06D0515651
CLIA
CO
01
—
06D0667646
CLIA
CO
01
—
06D1028766
CLIA
CO
05
—
1124090154
—
WY
01
—
COM5008
BCBS
CO
Enumeration date
02/03/2006
Last updated
04/04/2022
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