Organization
CEDAR DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ATHANASSIOS L PAPAIOANU (PRESIDENT/CEO)
(615) 916-3200
Entity
Organization
Contact information
Practice address
1011 N MILDRED RD, CORTEZ, CO 81321-2435
(970) 565-8482
(970) 565-8478
Mailing address
658 GRASSMERE PARK STE 104, NASHVILLE, TN 37211-3683
(615) 916-3200
(615) 916-3218
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
06D1089490
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06D1065912
CLIA
CO
01
—
06D1089490
CLIA
CO
01
—
06D2154705
CLIA
CO
Enumeration date
10/01/2008
Last updated
12/29/2021
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