Provider Demographics
NPI:1184672693
Name:UNIVERSITY PHYSICIANS INCORPORATED
Entity Type:Organization
Organization Name:UNIVERSITY PHYSICIANS INCORPORATED
Other - Org Name:CU MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-493-7000
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-493-7000
Mailing Address - Fax:
Practice Address - Street 1:12700 E 19TH AVE STE B182
Practice Address - Street 2:NEUROMUSCULAR HISTOCHEMISTRY
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2561
Practice Address - Country:US
Practice Address - Phone:303-372-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO69117012Medicaid
COC65733Medicare PIN