Organization
COMPLEX INTERACTIONS CORPORATION
Active
Other names
ChemaTox Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MATTHIES (OFFICE MANAGER)
(303) 440-4500
Entity
Organization
Contact information
Practice address
5375 WESTERN AVE STE C, BOULDER, CO 80301-2744
(303) 440-4500
Mailing address
PO BOX 20590, BOULDER, CO 80308-3590
(303) 440-4500
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538497714
NPI
—
Enumeration date
01/30/2019
Last updated
01/30/2019
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