Organization
MPATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGERLISA WENCHE MATTOCH (OWNER / AUTHORIZED REP)
(970) 818-6788
Entity
Organization
Contact information
Practice address
6215 AVIATION CIR, LOVELAND, CO 80538-9293
(970) 818-6788
(970) 669-0159
Mailing address
PO BOX 7268, LOVELAND, CO 80537-0268
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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