Provider Demographics
NPI:1538497714
Name:CHEMATOX, INC.
Entity Type:Organization
Organization Name:CHEMATOX, INC.
Other - Org Name:CHEMATOX LABORATORY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:URFER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:303-440-4500
Mailing Address - Street 1:PO BOX 20590
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80308-3590
Mailing Address - Country:US
Mailing Address - Phone:303-440-4500
Mailing Address - Fax:303-440-0668
Practice Address - Street 1:5401 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2730
Practice Address - Country:US
Practice Address - Phone:303-440-4500
Practice Address - Fax:303-440-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO06D1106932291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory