Provider Demographics
NPI:1841822277
Name:COR MEDICAL LLC
Entity type:Organization
Organization Name:COR MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:COOPER
Authorized Official - Last Name:NAPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-361-9900
Mailing Address - Street 1:100 CENTURYLINK DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2041
Mailing Address - Country:US
Mailing Address - Phone:318-362-1500
Mailing Address - Fax:318-807-3912
Practice Address - Street 1:1025 ELDORADO BLVD
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8254
Practice Address - Country:US
Practice Address - Phone:720-925-4685
Practice Address - Fax:303-464-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty