MEDICARE: MODERN LAB SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1427772169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODERN LAB SERVICES

Provider Business Mailing Address
First Line	:	3578 HARTSEL DR STE E PMB 444
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920
Country	:	US
Telephone Number	:	719-500-6928
Fax Number	:

Provider Business Practice Location Address
First Line	:	5802 PIONEER MESA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923
Country	:	US
Telephone Number	:	719-500-6928
Fax Number	:

Authorized Official
Title or Position	:	PHLEBOTOMIST
Name	:	MRS. STACY M HERNANDEZ
Credential	:	CPT
Telephone Number	:	719-500-6928

Provider Enumeration Date	:	09/27/2022
Last Update Date	:	09/27/2022

Similar Medicare Providers

1790617108 — INNERPATH MENTAL HEALTH PLLC
Practice Location Address:

5721 AFRICAN DAISY CT
COLORADO SPRINGS, CO
80923-8841

Practice Phone: 719-895-0607
Practice Fax:

1427752914 — DR. AVERY MAKENZIE LANE MARTINO DDS
Practice Location Address:

5955 DUBLIN BLVD
COLORADO SPRINGS, CO
80923-7474

Practice Phone: 719-793-1932
Practice Fax:

1366375180 — SHARDAE HARDING
Practice Location Address:

6353 GREAT BEAR CT
COLORADO SPRINGS, CO
80923-7309

Practice Phone: 719-291-7786
Practice Fax:

1447183165 — PAYTON FRYE
Practice Location Address:

4789 BRIDLE PASS DR
COLORADO SPRINGS, CO
80923-6286

Practice Phone: 913-669-1132
Practice Fax:

1376286872 — ERIK ALLEN ANDERSON DO
Practice Location Address:

6001 E WOODMEN RD
COLORADO SPRINGS, CO
80923-2601

Practice Phone: 719-571-5000
Practice Fax:

1972508505 — PAMELA ANN TAYLOR M.D.
Practice Location Address:

6011 E WOODMEN RD , STE 120
COLORADO SPRINGS, CO
80923-2603

Practice Phone: 719-776-8500
Practice Fax: 719-634-1448

1962407502 — PAUL DAVID SHERRY M.D.
Practice Location Address:

6011 E WOODMEN RD STE 105
COLORADO SPRINGS, CO
80923-2603

Practice Phone: 719-571-8600
Practice Fax: 719-884-2898

Directions to “MODERN LAB SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.