Organization
MARILLAC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATA RAMACHANDRAN (EXECUTIVE DIRECTOR)
(970) 298-2235
Entity
Organization
Contact information
Practice address
2333 N 6TH ST, GRAND JUNCTION, CO 81501
(970) 298-2235
(970) 298-1711
Mailing address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 298-2235
(970) 298-1711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37902041
—
CO
Enumeration date
01/27/2012
Last updated
09/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us