Healthcare Provider Details

I. General information

NPI: 1134718414
Provider Name (Legal Business Name): VEROS CLINICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 S YOSEMITE ST
CENTENNIAL CO
80112-1406
US

IV. Provider business mailing address

6801 S YOSEMITE ST
CENTENNIAL CO
80112-1406
US

V. Phone/Fax

Practice location:
  • Phone: 303-225-0080
  • Fax: 303-487-9103
Mailing address:
  • Phone: 303-209-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ISAAC R. MELAMED
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 303-773-9000