Centennial State Lab, Llc

LBN: Centennial State Lab, Llc
Centennial State Lab, Llc is an health care organization with primary practice located at 4775 Centennial Blvd Ste 120 , Colorado Springs CO 80919-3309. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Centennial State Lab, Llc can be contacted via phone (719) 284-3522, or through Brown, Stephanie via phone (719) 284-3522.

Contact Information

Primary practice address
4775 Centennial Blvd Ste 120 Colorado Springs CO 80919-3309
Phone: (719) 284-3522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Stephanie
Phone: (719) 284-3522

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1649829987
LBN Legal business name Centennial State Lab, Llc
DBA Doing business as
Authorized official Brown, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2019
Last updated Jan 9th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649829987 NPPES
Colorado Other 872314 MEDICARE

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