Organization
BOULDER COMMUNITY HEALTH
Active
Parent organization
BOULDER COMMUNITY HEALTH
Other names
Superior Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOULDER COMMUNITY HEALTH
Authorized official
JAY PEKAREK (REIMBURSEMENT SPECIALIST)
(303) 415-4233
Entity
Organization
Contact information
Practice address
3 SUPERIOR DR STE 100, SUPERIOR, CO 80027-8653
(303) 415-5255
Mailing address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
(303) 415-4700
(303) 415-4701
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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