Spectox Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

06D2099282 Issued in CO

Legal business name

SPECTOX LABS LLC

Practice address

10850 Dover St
Suite 900
Westminster, CO 80021-2652

Phone

(303) 515-7234

NPI assigned

Apr 28, 2015

Organization subpart

No

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

Authorized official

Name

Jeremy M Broderick

Title

Member

Phone

(303) 515-7234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1174900187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23016 LAKE FOREST DR",
            "address_2": "SUITE A-398",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531324",
            "telephone_number": "303-515-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 DOVER ST",
            "address_2": "SUITE 900",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800212652",
            "telephone_number": "303-515-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTOX LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-515-7234"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": "06D2099282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Westminster, CO
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• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.