Mountain States Pathology Pc

LBN: Mountain States Pathology Pc
Mountain States Pathology Pc is an health care organization with primary practice located at 2222 N Nevada Ave , Colorado Springs CO 80907. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Microbiology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Mountain States Pathology Pc can be contacted via phone (719) 776-5000, or through Franquemont, Douglas William via phone (719) 776-5816.

Contact Information

Primary practice address
2222 N Nevada Ave Colorado Springs CO 80907
Phone: (719) 776-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Franquemont, Douglas William Doctor of Medicine (MD)
Phone: (719) 776-5816

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1710941158
LBN Legal business name Mountain States Pathology Pc
DBA Doing business as
Authorized official Franquemont, Douglas William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 17th, 2007 - about 17 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 1710941158 NPPES
Colorado MEDICAID 12174823
Colorado MEDICAID 25157329
Colorado MEDICAID 806943705
Colorado MEDICAID 119630800
Colorado MEDICAID 806943700
Colorado MEDICAID 806943703
Colorado MEDICAID 04020889
Colorado MEDICAID 806943702
Colorado MEDICAID 806943704
Colorado MEDICAID 04978722
Colorado MEDICAID 66282829

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