Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Laboratory Management |
246QL0900X |
| NPI # | 1316805690 |
| LBN Legal business name | COPPER STATE LABORATORY SERVICES |
| Authorized official | DAVID RICHARDSON - (PRINCIPAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/14/2026 |
| Last updated | 01/19/2026 - About 5 months ago |
| Identifiers | n/a |
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