Healthcare Provider Details

I. General information

NPI: 1952373953
Provider Name (Legal Business Name): COLORADO PATHOLOGY CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 S BROADWAY SUITE100
DENVER CO
80209-4003
US

IV. Provider business mailing address

14275 MIDWAY RD SUITE 400
ADDISON TX
75001-3614
US

V. Phone/Fax

Practice location:
  • Phone: 303-899-6900
  • Fax: 303-899-6999
Mailing address:
  • Phone:
  • Fax: 610-271-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number06D0511305
License Number StateCO

VIII. Authorized Official

Name: DARREN THOMAS WHEELER
Title or Position: VICE PESIDENT
Credential:
Phone: 702-733-7866