Organization
COLORADO NEUROMONITORING PATHWAVES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA K FADIO CRET (PRESIDENT)
(303) 570-4683
Entity
Organization
Contact information
Practice address
5585 E MINERAL LN, CENTENNIAL, CO 80122-3898
(303) 570-4683
(303) 771-6622
Mailing address
PO BOX 131, BENNETT, CO 80102-0131
(303) 907-4239
(303) 644-5015
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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