06D2186663 CLIA NUMBER - INTEGRATED MOBILE MEDICAL SUNCREST ADVANCED ILLNESS MANAGEMENT

Laboratory Demographics

  • CLIA Code: 06D2186663
  • Facility Name: INTEGRATED MOBILE MEDICAL SUNCREST ADVANCED ILLNESS MANAGEMENT
  • Facility Address: 5700 S QUEBEC ST STE#310
    GREENWOOD VILLAGE, CO
    ZIP 80111
  • Facility Phone: 303 738-1712
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK PHILLIPS
  • NPI Number: 1033667373
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 06D2186663
LAB Type Physician Office
Facility Name INTEGRATED MOBILE MEDICAL SUNCREST ADVANCED ILLNESS MANAGEMENT
Street 5700 S QUEBEC ST STE#310
City GREENWOOD VILLAGE
State CO
ZIP 80111
Phone 303 738-1712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director MARK PHILLIPS

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This page was last updated on: 9/29/2025