Provider Demographics
NPI:1619643632
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:MANAGER OF CREDENTIALING AND ENROLL
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-304-7602
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:303-371-0345
Practice Address - Street 1:5604 FORTUNE CIR S STE N
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-5529
Practice Address - Country:US
Practice Address - Phone:855-895-8090
Practice Address - Fax:303-371-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory