06D2122307 CLIA NUMBER - ROCKY MOUNTAIN MEN'S CLINIC 1 - DENVER

Laboratory Demographics

CLIA Number: 06D2122307

Facility Name: ROCKY MOUNTAIN MEN'S CLINIC 1 - DENVER

Facility Address:
1780 S BELLAIRE ST, STE 355
DENVER, CO
ZIP 80222
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Facility Phone Number: 720 372-1501

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1013990043

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	06D2122307
LAB Type	Physician Office
Facility Name	ROCKY MOUNTAIN MEN'S CLINIC 1 - DENVER
Street	1780 S BELLAIRE ST, STE 355
City	DENVER
State	CO
ZIP	80222
Phone	720 372-1501
CertificateType	2
CertificateEffectiveDate	11/21/2022
CertificateExpirationDate	11/20/2024
FacilityType	Compliance

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