Organization
PIKES PEAK DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOBEY MONTOYA (OWNER)
(719) 320-4155
Entity
Organization
Contact information
Practice address
1300 S PAPAGO DR, PUEBLO WEST, CO 81007-2696
(719) 320-4155
Mailing address
1300 S PAPAGO DR, PUEBLO WEST, CO 81007-2696
(719) 320-4155
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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