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Contact Information

SOUTHWEST DIAGNOSTIC LABORATORIES PC
1010 THREE SPRINGS BLVD
DURANGO, CO81301-8296
 Phone: 970-764-1170
 Fax: 970-764-1108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SOUTHWEST DIAGNOSTIC LABORATORIES PC

NPI Number 1982676920
LBN Legal business name SOUTHWEST DIAGNOSTIC LABORATORIES PC
Authorized official EDWARD KRAMER - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/03/2006
Last updated 04/24/2015 - About 11 years ago
Identifiers
CO License # 06D0518876
CO Medicaid 04005880
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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