Organization
PRIME PATHOLOGY LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARD M NEWCOMB M.D. (PRESIDENT)
(785) 621-2041
Entity
Organization
Contact information
Practice address
6429 MILLER ST, SUITE C, ARVADA, CO 80004-2810
(303) 432-7855
Mailing address
3464 S WILLOW ST, #604, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60407549
—
CO
Enumeration date
05/28/2006
Last updated
01/03/2008
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