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

Colleyverse Iom, LLC

Organization Surgical Technologist · NPI 1013549278

Colleyverse Iom, LLC is a Surgical Technologist in Fort Worth, Texas. Registered with an NPI since 2020.

In the registry since
2020
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

500 Throckmorton St Unit 3309
Fort Worth, TX 76102
Phone: (817) 908-8124
Fax: (817) 885-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X

Record details

NPI number1013549278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Augusto Lastmosa — Managing Member · (817) 366-4777
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020
Mailing address500 Throckmorton Street, Unit 3309, Fort Worth, TX 76102

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