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STATE OF COLORADO NPI 1396995601


NPI Information

NPI: 1396995601
Provider Name: STATE OF COLORADO

Doing Business As: OTERO JUNIOR COLLEGE CHILD DEVELOPMENT SERVICES

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 06D1089569

Address:
1802 COLORADO AVE
LA JUNTA, CO
ZIP 81050
Phone: (719) 384-3102
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STATE OF COLORADO is a clinical medical laboratory in La Junta, CO. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. STATE OF COLORADO NPI is 1396995601. The provider is registered as an organization entity type.
The provider Is Doing Business As Otero Junior College Child Development Services.

The provider's business location address is:

1802 COLORADO AVE
LA JUNTA, CO
ZIP 81050-400
Phone: (719) 384-3102
Fax: (719) 384-1096

The provider's authorized official is James Rizzuto .
The authorized official title is President and has the following contact phone number (719) 384-6822.

The CLIA number assigned to this NPI record is 06D1089569 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 9/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory06D1089569COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
194654395MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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