Provider Demographics
NPI: | 1972904415 |
---|---|
Name: | ROCKY MOUNTAIN PATHOLOGY CONSULTANTS, PC |
Entity type: | Organization |
Organization Name: | ROCKY MOUNTAIN PATHOLOGY CONSULTANTS, PC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MAYA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | STEWART |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 303-552-0657 |
Mailing Address - Street 1: | 10841 CROSSROADS DR STE 4 |
Mailing Address - Street 2: | |
Mailing Address - City: | PARKER |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80134-9090 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 303-552-0657 |
Mailing Address - Fax: | 303-242-8474 |
Practice Address - Street 1: | 10841 S CROSSROADS DR STE 4 |
Practice Address - Street 2: | |
Practice Address - City: | PARKER |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80134-9090 |
Practice Address - Country: | US |
Practice Address - Phone: | 303-552-0657 |
Practice Address - Fax: | 303-242-8474 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-09-15 |
Last Update Date: | 2022-10-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | Group - Single Specialty |
No | 207ZC0006X | Allopathic & Osteopathic Physicians | Pathology | Clinical Pathology | Group - Single Specialty |
No | 207ZC0500X | Allopathic & Osteopathic Physicians | Pathology | Cytopathology | Group - Single Specialty |
No | 207ZD0900X | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology | Group - Single Specialty |
No | 207ZH0000X | Allopathic & Osteopathic Physicians | Pathology | Hematology | Group - Single Specialty |
No | 207ZI0100X | Allopathic & Osteopathic Physicians | Pathology | Immunopathology | Group - Single Specialty |
No | 207ZM0300X | Allopathic & Osteopathic Physicians | Pathology | Medical Microbiology | Group - Single Specialty |
No | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | Group - Single Specialty |
No | 207ZP0105X | Allopathic & Osteopathic Physicians | Pathology | Clinical Pathology/Laboratory Medicine | Group - Single Specialty |
No | 207ZP0213X | Allopathic & Osteopathic Physicians | Pathology | Pediatric Pathology | Group - Single Specialty |
No | 2080I0007X | Allopathic & Osteopathic Physicians | Pediatrics | Clinical & Laboratory Immunology | Group - Single Specialty |
No | 246QL0900X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Laboratory Management | Group - Multi-Specialty |
No | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty | Group - Single Specialty |
No | 291U00000X | Laboratories | Clinical Medical Laboratory | Group - Single Specialty |