Provider Demographics
NPI:1073194783
Name:BRISK TECHNOLOGIES INC
Entity type:Organization
Organization Name:BRISK TECHNOLOGIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-592-7475
Mailing Address - Street 1:11495 W 8TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-5539
Mailing Address - Country:US
Mailing Address - Phone:888-592-7475
Mailing Address - Fax:888-235-1770
Practice Address - Street 1:11495 W 8TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5539
Practice Address - Country:US
Practice Address - Phone:888-592-7475
Practice Address - Fax:888-235-1770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2024-08-15
Deactivation Date:2023-05-30
Deactivation Code:
Reactivation Date:2023-06-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care