Organization
HEALTHONE IRL PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M SMITHAM (AUTHORIZED OFFICIAL)
(303) 584-8119
Entity
Organization
Contact information
Practice address
1455 S POTOMAC ST STE 101, AURORA, CO 80012-4501
(303) 695-2635
(303) 873-5660
Mailing address
PO BOX 744326, ATLANTA, GA 30374-4326
(303) 788-6130
(303) 788-4996
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000155314
—
CO
Enumeration date
11/17/2020
Last updated
11/17/2020
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