Organization
LONE TREE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E TRUELL MD (PRESIDENT)
(303) 788-6129
Entity
Organization
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(720) 225-1267
(720) 225-1269
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
CO
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61181242
—
CO
Enumeration date
05/03/2006
Last updated
09/11/2008
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