Provider Demographics
NPI:1205597143
Name:KOCO-PARA MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:KOCO-PARA MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KOCA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-257-7735
Mailing Address - Street 1:2724 BROOKSEDGE VW
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-4455
Mailing Address - Country:US
Mailing Address - Phone:303-257-7735
Mailing Address - Fax:
Practice Address - Street 1:2724 BROOKSEDGE VW
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-4455
Practice Address - Country:US
Practice Address - Phone:303-257-7735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251J00000XAgenciesNursing Care