Healthcare Provider Details

I. General information

NPI: 1558544817
Provider Name (Legal Business Name): TECHNICAL RESOURCE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 E ROUTE 66 STE 1
FLAGSTAFF AZ
86004-5119
US

IV. Provider business mailing address

PO BOX 172775
DENVER CO
80217-2775
US

V. Phone/Fax

Practice location:
  • Phone: 928-526-1011
  • Fax:
Mailing address:
  • Phone: 855-895-8090
  • Fax: 888-860-8273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateAZ

VIII. Authorized Official

Name: ELIZABETH CHELSEY RANGEL
Title or Position: DIRECTOR OF BILLING AND COLLECTIONS
Credential:
Phone: 303-749-0637