Provider Demographics
NPI:1568981793
Name:EEO GENETIC CONSULTATIONS, LLC
Entity Type:Organization
Organization Name:EEO GENETIC CONSULTATIONS, LLC
Other - Org Name:EEO GENETIC CONSULTATIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:O'TOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CGC
Authorized Official - Phone:720-722-4072
Mailing Address - Street 1:3438 PECOS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3517
Mailing Address - Country:US
Mailing Address - Phone:1720-722-4072
Mailing Address - Fax:
Practice Address - Street 1:3438 PECOS ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3517
Practice Address - Country:US
Practice Address - Phone:1720-722-4072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics