Organization
CENTENNIAL STATE LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L BROWN (DIRECTOR OF OPERATIONS)
(719) 284-3522
Entity
Organization
Contact information
Practice address
651 CORPORATE CIR STE 104, GOLDEN, CO 80401-5652
(303) 800-2595
(303) 800-2596
Mailing address
651 CORPORATE CIR STE 104, GOLDEN, CO 80401-5652
(303) 800-2595
(303) 800-2596
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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