Provider Demographics
NPI:1982162285
Name:SPOT ON DRUG TESTING
Entity type:Organization
Organization Name:SPOT ON DRUG TESTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREINER-FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CAC1
Authorized Official - Phone:303-408-9775
Mailing Address - Street 1:2000 21ST ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-4501
Mailing Address - Country:US
Mailing Address - Phone:303-408-9775
Mailing Address - Fax:
Practice Address - Street 1:2000 21ST ST UNIT B
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-4501
Practice Address - Country:US
Practice Address - Phone:303-408-9775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center