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General NPI Number Information
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NPI Number | 1477591436
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Entity Type | Organization
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Legal Business Name | UNITED PATHOLOGY SERVICES PC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1750 E KEN PRATT BLVD
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City | LONGMONT
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State | CO
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Zip | 80504-5311
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Country | US
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Telephone | 720-718-7000
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Fax | 970-667-0847
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Provider Business Mailing Address
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Address Line | PO BOX 7328
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City | LOVELAND
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State | CO
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Zip | 80537-0328
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Country | US
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Telephone | 970-663-2742
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ROBIN L BOYER
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Credential |
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Telephone | 970-663-2742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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