Organization
CERVIOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN C PANTHER (OWNER)
(720) 308-4567
Entity
Organization
Contact information
Practice address
15047 W 54TH DR, GOLDEN, CO 80403-2915
(281) 462-1285
(281) 462-1554
Mailing address
PO BOX 1288, CROSBY, TX 77532-1288
(281) 462-1285
(281) 462-1554
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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