Organization
LONGMONT CLINIC LAB
Active
Parent organization
LONGMONT CLINIC PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONGMONT CLINIC PC
Authorized official
JACK CAMPBELL (ADMINISTRATOR)
(303) 776-1234
Entity
Organization
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10251530000
CO
Other
Enumeration date
09/15/2006
Last updated
11/15/2007
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