I-Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

06D1088640 Issued in CO

Legal business name

I-LAB INC

Practice address

9695 S Yosemite St
Lone Tree, CO 80124-2888

Phone

(720) 862-6279

NPI assigned

Aug 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harold Jimmy Brockman

Title

President

Phone

(720) 862-6279

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234656000000",
    "number": "1093971434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E 17TH ST",
            "address_2": "SUITE 160",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242888",
            "telephone_number": "720-862-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2009-02-15",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-862-6279"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": "06D1088640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ryan Humer, PA-C
• Laura Elizabeth Hunt, LPC
• Kyle D Hunter, PA
• Jennifer Lea Hutchings, LPC
• Suzanne L Hutchison, MD
• Maria Dee Ibach, PA
• Raymond Jesse Ibarra, P.T.
• Christina Nicole Ikard, MS, CGC
• Allen Y Iloreta, PA-C
• Ingenious Personalized Medicine, LLC

• Clinical Medical Laboratory in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.