Organization
BLUE NILE CLINIC LAB
Active
Other names
PCL Lab
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL MENGESHA (OWNER)
(720) 288-7337
Entity
Organization
Contact information
Practice address
11275 E MISSISSIPPI AVE STE 2W1, AURORA, CO 80012-2828
(720) 573-3823
(720) 639-9037
Mailing address
11275 E MISSISSIPPI AVE STE 2W1, AURORA, CO 80012-2828
(720) 573-3823
(720) 639-9037
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/26/2024
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