MR. DERRY ROBERT POLLOCK


Address: 10555 West Jewell Ave, Apt 19-203, Lakewood, CO 80232-4835
Phone: 5753022407

MR. DERRY ROBERT POLLOCK (NPI# 1134529704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134529704
Entity Type Individual
Full Name MR. DERRY ROBERT POLLOCK
Credential MT(ASCP), CLS(NCA)
Practice Address 10555 West Jewell Ave
Apt 19-203
Lakewood
CO 80232-4835
Practice Telephone 5753022407
Mailing Telephone 5753022407
Enumeration Date 2014-09-02
Last Update Date 2014-09-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246QM0706X Spec/Tech, Pathology
Specialization: Medical Technologist
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 10555 WEST JEWELL AVE
APT 19-203
City LAKEWOOD
State CO
Zip Code 80232-4835

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Taxonomy Information

Taxonomy Code 246QM0706X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Pathology
Specialization Medical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679962948 April Gene' Light Spec/Tech, Pathology 11071 Huron St Unit 1209, Northglenn, CO 80234-4369 2015-01-09
1124432372 Rose Marie Specht Spec/Tech, Pathology 2944 Shelley Dr, Grand Junction, CO 81503-2356 2014-06-16
1033532064 Van Nguyen Spec/Tech, Pathology 10225 E Girard Ave Apt J203, Denver, CO 80231-5098 2014-01-27
1851623458 Garry Ketler Spec/Tech, Pathology 10 E Ilex Ct, Milliken, CO 80543-9112 2010-02-05
1285966366 Angela Sabine Briggs Spec/Tech, Pathology 12285 Kalispell St, Brighton, CO 80603-6917 2010-02-01
1699908582 Tania Ann Urenda Spec/Tech, Pathology 439 Gray Horse Cir, Woodland Park, CO 80863-8943 2009-08-26
1912150798 Elizabeth Jean Kuras Spec/Tech, Pathology 644 Sage Cir, Highlands Ranch, CO 80126-2119 2008-10-24
1629224134 Amy Beth Enderlin Spec/Tech, Pathology 343 Sherwood Trl, Breckenridge, CO 80424-8813 2008-08-15
1164616983 Janice Cabellon Spec/Tech, Pathology 801 Englewood Pkwy, G306, Englewood, CO 80110-2345 2007-09-05
1659414712 Christopher Dean Mele Spec/Tech, Pathology 56 Jacobson Pl Unit 1, 56 Jacobson Pl. #1, Leadville, CO 80461-3376 2007-02-15
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Competitor

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City LAKEWOOD
Zip Code 80232

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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