Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centennial State Lab, LLC

Organization Clinical Medical Laboratory · NPI 1649829987

Centennial State Lab, LLC is a Clinical Medical Laboratory in Colorado Springs, Colorado. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4775 Centennial Blvd Ste 120
Colorado Springs, CO 80919-3309
Phone: (719) 284-3522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1649829987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Brown — Owner · (719) 284-3522
NPI enumeratedSeptember 10, 2019
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020
Mailing addressPo Box 15351, Springfield, MA 01115-5351

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