Time Lab Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

06D2108802 Issued in CO

Legal business name

TIME LAB SERVICES, LLC

Practice address

10 Burnett CT
Suite 326
Durango, CO 81301-3611

Phone

(972) 924-5790

NPI assigned

Mar 11, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Wade Rosenburg

Title

Owner

Phone

(972) 924-5790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1427419977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BURNETT CT",
            "address_2": "STE 326",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813013611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BURNETT CT",
            "address_2": "SUITE 326",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813013611",
            "telephone_number": "972-924-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME LAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "ROSENBURG",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-924-5790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": "06D2108802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Durango, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.