Healthcare Provider Details
I. General information
NPI: 1285625111
Provider Name (Legal Business Name): METROPOLITAN PATHOLOGISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2005
Last Update Date: 11/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7444 W ALASKA DR STE 250
LAKEWOOD CO
80226-3327
US
IV. Provider business mailing address
7444 W ALASKA DR STE 250
LAKEWOOD CO
80226-3327
US
V. Phone/Fax
- Phone: 303-592-7284
- Fax: 303-892-0601
- Phone: 303-592-7284
- Fax: 303-892-0601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RONALD
M
SCONYERS
Title or Position: CEO
Credential:
Phone: 303-592-7284