NPI 1083280978
Ingenious Personalized Medicine, LLC
Practice location
- Address
- 6915 Tutt Boulevard Suite 110a, Colorado Springs, CO 80923-3591
- Phone
- (786) 221-1734
- Fax
- (305) 891-4228
- Mailing address
- 1065 NE 125th Street Suite 300, North Miami, FL 33161-5833
Authorised official
- Name
- Scott Daniel Segal
- Title
- Ceo
- Phone
- (888) 852-6672
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1083280978
- Entity type
- Organization
- NPI issued
- 1 Jun 2021
- Record last updated
- 9 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.