Provider Demographics
NPI:1316110588
Name:CLIFFORD CONSULTING AND RESEARCH INC
Entity type:Organization
Organization Name:CLIFFORD CONSULTING AND RESEARCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:JESS
Authorized Official - Last Name:CLIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:719-550-0008
Mailing Address - Street 1:4775 CENTENNIAL BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-3309
Mailing Address - Country:US
Mailing Address - Phone:719-550-0008
Mailing Address - Fax:719-550-0009
Practice Address - Street 1:4775 CENTENNIAL BLVD STE 112
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-3309
Practice Address - Country:US
Practice Address - Phone:719-550-0008
Practice Address - Fax:719-550-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory