Broomfield Diagnostics Llc | |
6363 W 120th Ave Suite 302 Broomfield CO 80020-0300 | |
(303) 635-2225 | |
(303) 635-1078 |
Full Name | Broomfield Diagnostics Llc |
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Speciality | Internal Medicine |
Location | 6363 W 120th Ave, Broomfield, Colorado |
Authorized Official Name and Position | Lawrence Janowski (MEDICAL DIRECTOR) |
Authorized Official Contact | 3036352225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Broomfield Diagnostics Llc 6363 W 120th Ave Suite 302 Broomfield CO 80020-0300 Ph: (303) 635-2225 | Broomfield Diagnostics Llc 6363 W 120th Ave Suite 302 Broomfield CO 80020-0300 Ph: (303) 635-2225 |
NPI Number | 1679811582 |
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Provider Enumeration Date | 01/28/2013 |
Last Update Date | 05/24/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679811582 | NPI | - | NPPES |
41654021 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 42224 (Colorado) | Primary |
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