Healthcare Provider Details

I. General information

NPI: 1982162285
Provider Name (Legal Business Name): SPOT ON DRUG TESTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 21ST ST UNIT B
BOULDER CO
80302-4501
US

IV. Provider business mailing address

2000 21ST ST UNIT B
BOULDER CO
80302-4501
US

V. Phone/Fax

Practice location:
  • Phone: 303-408-9775
  • Fax:
Mailing address:
  • Phone: 303-408-9775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WESLEY SCHREINER-FISCHER
Title or Position: DIRECTOR
Credential: B.S., CAC1
Phone: 303-408-9775