State of Colorado
State of Colorado is a Clinical Medical Laboratory in LA Junta, Colorado. Licensed in Colorado. Registered with an NPI since 2008.
- Licensed in
- CO
- In the registry since
- 2008
Practice location Address checks out
1802 Colorado AveLA Junta, CO 81050-3400
Phone: (719) 384-3102
Fax: (719) 384-1096
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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 · Licence 06D1089569 (CO) |
|---|
Record details
| NPI number | 1396995601 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Rizzuto — President · (719) 384-6822 |
| Other names | Otero Junior College Child Development Services |
| NPI enumerated | September 23, 2008 |
| Last updated in NPPES | September 23, 2008 |
| Mailing address | 1802 Colorado Ave, La Junta, CO 81050-3400 |