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CENTER FOR REGENERATIVE MEDICINE LLC NPI 1760929590


NPI Information

NPI: 1760929590
Provider Name: CENTER FOR REGENERATIVE MEDICINE LLC

Doing Business As: METAMORPHOSIS CENTER FOR REGENERATIVE MEDICINE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 06D2081991

Address:
113 LATIGO LN STE E
CANON CITY, CO
ZIP 81212
Phone: (719) 371-0000
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CENTER FOR REGENERATIVE MEDICINE LLC is an ambulatory surgical clinic center in Canon City, CO. CENTER FOR REGENERATIVE MEDICINE LLC NPI is 1760929590. The provider is registered as an organization entity type.
The provider Is Doing Business As Metamorphosis Center For Regenerative Medicine.

The provider's business location address is:

113 LATIGO LN STE E
CANON CITY, CO
ZIP 81212-114
Phone: (719) 371-0000
Fax: (888) 965-6893

The provider's authorized official is Victoria King .
The authorized official title is Cmo and has the following contact phone number (719) 371-0000.

The CLIA number assigned to this NPI record is 06D2081991 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2017 and was last updated on 3/6/2020.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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