Provider Demographics
NPI:1639470032
Name:COLORADO CHEMISTRIES, LLC
Entity Type:Organization
Organization Name:COLORADO CHEMISTRIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:T
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-926-7360
Mailing Address - Street 1:380 EMPIRE RD. STE 210
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2677
Mailing Address - Country:US
Mailing Address - Phone:303-551-7945
Mailing Address - Fax:303-926-7359
Practice Address - Street 1:380 EMPIRE RD. STE 210
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2677
Practice Address - Country:US
Practice Address - Phone:303-551-7945
Practice Address - Fax:303-926-7359
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAIN PARTNERS, MD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-16
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO06D1101352291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory