Organization
BROOMFIELD DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE JANOWSKI MD (MEDICAL DIRECTOR)
(303) 635-2225
Entity
Organization
Contact information
Practice address
6363 W 120TH AVE, SUITE 302, BROOMFIELD, CO 80020-0300
(303) 635-2225
(303) 635-1078
Mailing address
6363 W 120TH AVE, SUITE 302, BROOMFIELD, CO 80020-0300
(303) 635-2225
(303) 635-1078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42224
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41654021
—
CO
Enumeration date
01/28/2013
Last updated
05/24/2013
Update your record
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