Organization
ADVANCED DIAGNOSTIC FNA BIOPSY CLINIC, LLC
Active
Other names
Precision Diagnostic FNA Biopsy Clinc, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE MONTOYA M.D. (DIRECTOR/CYTOPATHOLOGIST)
(970) 214-7849
Entity
Organization
Contact information
Practice address
400 S. MCCASLIN BLVD., SUITE 213, LOUISVILLE, CO 80027
(970) 214-7849
Mailing address
400 S MCCASLIN BLVD STE 213, SUPERIOR, CO 80027-8700
(970) 214-7849
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
DR.0056076
CO
261Q00000X
Clinic/Center
DR.0056076
CO
Other
Enumeration date
12/01/2015
Last updated
07/21/2022
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