Whalio Doctors

NPI 1457888398

Scltdi Jv, LLC

Organisation Physiological Laboratory Castle Rock, CO

Practice location

Address
3911 Ambrosia St STE 104, Castle Rock, CO 80109-3887
Phone
(303) 214-9290
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

Registry record

NPI
1457888398
Entity type
Organization
NPI issued
22 May 2017
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.