Organization
INVIVO, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MISHASEK CPED (PRESIDENT)
(719) 632-4275
Entity
Organization
Contact information
Practice address
2415 N UNION BLVD, COLORADO SPRINGS, CO 80909-1107
(719) 632-4275
(719) 471-0760
Mailing address
2415 N UNION BLVD, COLORADO SPRINGS, CO 80909-1107
(719) 632-4275
(719) 471-0760
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08002982
—
CO
Enumeration date
11/25/2006
Last updated
08/22/2020
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