Provider Demographics
NPI:1134395759
Name:UROSOURCE, INC.
Entity type:Organization
Organization Name:UROSOURCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:PANEPINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-341-5210
Mailing Address - Street 1:6840 LOWELL BLVD
Mailing Address - Street 2:UNIT #2
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-2601
Mailing Address - Country:US
Mailing Address - Phone:720-341-5210
Mailing Address - Fax:303-942-1517
Practice Address - Street 1:6840 LOWELL BLVD
Practice Address - Street 2:UNIT #2
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-2601
Practice Address - Country:US
Practice Address - Phone:720-341-5210
Practice Address - Fax:303-942-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-03
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies