Boulder Community Health
Organization Active NPI Clinical Medical Laboratory · Superior, CO
NPI 1225637879 · NPPES record last updated Oct 23, 2020
Key facts
- NPI
- 1225637879
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- BOULDER COMMUNITY HEALTH
- Practice address
- 3 Superior Dr Ste 100
Superior, CO 80027-8653 - Phone
- (303) 415-5255
- NPI assigned
- Oct 23, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- BOULDER COMMUNITY HEALTH
Authorized official
- Name
- Jay Pekarek
- Title
- Reimbursement Specialist
- Phone
- (303) 415-4233
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Michael Vongortler MD
- Part of
- Michael Vongortler MD
Locations
3 Superior Dr
Ste 100
Superior, CO 80027
Phone (303) 415-5255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
3 Superior Dr Ste 100
Superior, CO 80027-8653
Mailing address
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-4700
Other names
- Superior Lab
Other providers in Superior, CO
- Swati Bhakta
- Morgan Bishop
- Pamela Bloom
- Cynthia L Bogacki
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
All providers in Superior, CO · Clinical Medical Laboratory in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.