Organization
ELEVATED PATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BLAKE RODMAN (AUTHORIZED OFFICIAL)
(719) 299-1515
Entity
Organization
Contact information
Practice address
9395 CROWN CREST BLVD, PARKER, CO 80138-8573
(303) 269-4000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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