Provider Demographics
NPI:1235671819
Name:COLORADO SPRINGS PATHOLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:COLORADO SPRINGS PATHOLOGY ASSOCIATES PC
Other - Org Name:COLORADO SPRINGS PATHOLOGY LABORATORY SERVICES PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-368-7247
Mailing Address - Street 1:2838 JANITELL RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4141
Mailing Address - Country:US
Mailing Address - Phone:719-368-7247
Mailing Address - Fax:719-985-8289
Practice Address - Street 1:2838 JANITELL RD, E
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4141
Practice Address - Country:US
Practice Address - Phone:719-368-7247
Practice Address - Fax:719-359-5500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO SPRINGS PATHOLOGY ASSOCIATES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-14
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory