Candu Lab Services

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DR-23150 Issued in CO

Legal business name

CANDU LAB SERVICES

Practice address

400 S Union Ave
Suite B
Pueblo, CO 81003-3431

Phone

(719) 289-2351

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Richard Kent Stiverson

Title

Ceo/President

Phone

(719) 289-2351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1730358698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15904 STRATHERN ST",
            "address_2": "SUITE 19",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061314",
            "telephone_number": "719-289-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S UNION AVE",
            "address_2": "SUITE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033431",
            "telephone_number": "719-289-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDU LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "STIVERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "719-289-2351"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR-23150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velma L. Campbell, M.D.
• William Macrae Campbell, DO
• Marisa Lee Camper, RDH BS
• Maya Angelique Canales
• Leah Cancino
• Linda Capito
• Alfonso Cappa-Melendez, PSYD
• Lani Cappellucci
• Matthew Anthony Capranelli
• Coral Capritta

• Ophthalmology Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.