Organization
MODERN LAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY M HERNANDEZ CPT (PHLEBOTOMIST)
(719) 500-6928
Entity
Organization
Contact information
Practice address
5802 PIONEER MESA DR, COLORADO SPRINGS, CO 80923
(719) 500-6928
Mailing address
3578 HARTSEL DR STE E PMB 444, COLORADO SPRINGS, CO 80920
(719) 500-6928
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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