Organization
SPECTOX LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY M BRODERICK (MEMBER)
(303) 515-7234
Entity
Organization
Contact information
Practice address
10850 DOVER ST, SUITE 900, WESTMINSTER, CO 80021-2652
(303) 515-7234
Mailing address
23016 LAKE FOREST DR, SUITE A-398, LAGUNA HILLS, CA 92653-1324
(303) 515-7234
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
06D2099282
CO
Other
Enumeration date
04/28/2015
Last updated
08/12/2015
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