Organization
CEDAR DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHANASSIOS L PAPAIOANU (PRESIDENT & CEO)
(615) 916-3200
Entity
Organization
Contact information
Practice address
555 RIVERGATE STE B2-136, DURANGO, CO 81301-7480
(970) 247-0937
(970) 247-9579
Mailing address
658 GRASSMERE PARK STE 104, NASHVILLE, TN 37211-3683
(615) 916-3200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
06D1065912
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06D1065912
CLIA
CO
Enumeration date
04/14/2010
Last updated
12/29/2021
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