NPI 1184021099

Scltdi Jv, LLC

Organisation Physiological Laboratory Lafayette, CO

Practice location

Address: 390 Empire Rd Suite 102, Lafayette, CO 80026-2605
Phone: (303) 253-3280
Fax: (303) 253-3281
Mailing address: PO Box 746001, Atlanta, GA 30374-6001

Authorised official

Name: Kate Roelle
Title: Director of Credentialing
Phone: (614) 689-1691

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Colorado →

Registry record

NPI: 1184021099
Entity type: Organization
NPI issued: 21 Nov 2014
Record last updated: 6 Nov 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.