Organization
UNIQUE CLINICAL LABORATORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRIGOR BOURNAZIAN (PRESIDENT)
(719) 570-1162
Entity
Organization
Contact information
Practice address
4020 PALMER PARK BLVD, SUITE 103B, COLORADO SPRINGS, CO 80909-3402
(719) 570-1162
(719) 570-1155
Mailing address
4020 PALMER PARK BLVD, SUITE 103B, COLORADO SPRINGS, CO 80909-3402
(719) 570-1162
(719) 570-1155
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CO
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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