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

1770427676 — CANDICE AUGUSTINA ALLEN
Practice Location Address:

6140 TUTT BLVD STE 200
COLORADO SPRINGS, CO
80923-3576

Practice Phone: 855-444-5664
Practice Fax:

1467807529 — MS. LINDSY JENNIFER ENGLERT D.O.
Practice Location Address:

6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO
80923-2610

Practice Phone: 719-597-8704
Practice Fax: 719-597-6864

1124962980 — AINSLEY MICHELLE MCGUIRE
Practice Location Address:

6140 TUTT BLVD
COLORADO SPRINGS, CO
80923-3575

Practice Phone: 855-444-5664
Practice Fax:

1609076397 — SARAH ALEXIS BIRCH DNP, APRN, CPNP-PC
Practice Location Address:

6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO
80923-2610

Practice Phone: 719-597-8704
Practice Fax: 719-597-6864

1881790939 — MR. FORREST KYLE STEWART PA-C
Practice Location Address:

6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO
80923-2610

Practice Phone: 719-597-8704
Practice Fax: 719-597-8707

1609816693 — ROBERT UNDERHILL MD
Practice Location Address:

6071 E WOODMEN RD , SUITE 105
COLORADO SPRINGS, CO
80923-2607

Practice Phone: 719-597-8704
Practice Fax: 719-597-6864

1053793836 — DR. AUSTIN MAURICE VANDEBERG M.D.
Practice Location Address:

6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO
80923-2610

Practice Phone: 719-597-8704
Practice Fax:

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.