Healthcare Provider Details

I. General information

NPI: 1255214623
Provider Name (Legal Business Name): ASHLEY LAABS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 RALEIGH ST STE 500
DENVER CO
80204-1594
US

IV. Provider business mailing address

3733 N MORRIS BLVD
MILWAUKEE WI
53211-2217
US

V. Phone/Fax

Practice location:
  • Phone: 303-872-1735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: