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SOUTH SPRING LAB LLC NPI 1760168579


NPI Information

NPI: 1760168579
Provider Name: SOUTH SPRING LAB, LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1835 S NEVADA AVE
COLORADO SPRINGS, CO
ZIP 80905
Phone: (719) 634-8378
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SOUTH SPRING LAB, LLC is a point of service in Colorado Springs, CO. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SOUTH SPRING LAB, LLC NPI is 1760168579. The provider is registered as an organization entity type.

The provider's business location address is:

1835 S NEVADA AVE
COLORADO SPRINGS, CO
ZIP 80905
Phone: (719) 634-8378
Fax: (719) 473-8378

The provider's authorized official is Terra Runyan .
The authorized official title is Senior Laboratory Supervisor and has the following contact phone number (719) 634-8378.

The enumeration date for this NPI number is 6/26/2023 and was last updated on 6/26/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2305S00000XPoint of ServiceYes

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: 5/5/2024

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