06D0947006 CLIA NUMBER - SOUTH DENVER GASTROENTEROLOGY - ENGLEWOOD

Laboratory Demographics

CLIA Number: 06D0947006

Facility Name: SOUTH DENVER GASTROENTEROLOGY - ENGLEWOOD

Facility Address:
499 E HAMPDEN AVE, STE 420
ENGLEWOOD, CO
ZIP 80113
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Facility Phone Number: 303 788-8888

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1467050385

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	06D0947006
LAB Type	Physician Office
Facility Name	SOUTH DENVER GASTROENTEROLOGY - ENGLEWOOD
Street	499 E HAMPDEN AVE, STE 420
City	ENGLEWOOD
State	CO
ZIP	80113
Phone	303 788-8888
CertificateType	2
CertificateEffectiveDate	7/21/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024