Provider Demographics
NPI:1346524428
Name:REGENTS OF UNIVERSITY OF COLORADO
Entity Type:Organization
Organization Name:REGENTS OF UNIVERSITY OF COLORADO
Other - Org Name:UNIVERSITY OF COLORADO
Other - Org Type:Other Name
Authorized Official - Title/Position:DEAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:KRUGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-724-0882
Mailing Address - Street 1:1800 GRANT ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1185
Mailing Address - Country:US
Mailing Address - Phone:303-724-0882
Mailing Address - Fax:
Practice Address - Street 1:1999 N FITZSIMONS PKWY
Practice Address - Street 2:120
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7503
Practice Address - Country:US
Practice Address - Phone:303-344-1292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO207ND0900X291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory