CEDAR DIAGNOSTICS, LLC
Medical Laboratory at Mildred Rd, Cortez, CO

License number
Colorado 06D1089490
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. ALEXANDER R CUDKOWICZ M.D.
Title: PRESIDENT
Phone: (970) 565-8482
Address
Address
1011 N Mildred Rd, Cortez, CO 81321
National Provider ID: 1386895969
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CEDAR DIAGNOSTICS LLC

Cortez, CO  -  Phoenix, AZ

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Mar 15, 2012
Phone:
(970) 564-2089 (Phone), (970) 565-8490 (Phone)
Addresses:
1011 N Mildred Rd, Cortez, CO 81321 (Physical)
1011 N Mildred Rd   , Cortez, CO 81321 (Mailing)
2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)
State ID:
8266499-0161
Business type:
LLC - Foreign
Expiration:
PERPETUAL
Insurance/billing Supervisors:
Alex R. Cidkowiez (Manager),Alex D Cudkowicz (Manager, Member, President), 1011 N Mildred Rd, Cortez, CO 81321 (Physical),Kendra Schmittel (Secretary),...
Agent:
C T Corporation System,1108 E South Un Ave, Midvale, UT 84047 (Physical)
Categories:
Government Contractors, Medical Services, Physicians & Surgeons

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