Provider Demographics
NPI:1558544817
Name:TECHNICAL RESOURCE MANAGEMENT LLC
Entity Type:Organization
Organization Name:TECHNICAL RESOURCE MANAGEMENT LLC
Other - Org Name:CORDANT HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BILLING AND COLLECTIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CHELSEY
Authorized Official - Last Name:RANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-749-0637
Mailing Address - Street 1:PO BOX 172775
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-2775
Mailing Address - Country:US
Mailing Address - Phone:855-895-8090
Mailing Address - Fax:888-860-8273
Practice Address - Street 1:1760 E ROUTE 66 STE 1
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-5119
Practice Address - Country:US
Practice Address - Phone:928-526-1011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO80533221Medicaid