Provider Demographics
NPI:1164003257
Name:CHANGING TIMES MEDICAL TECHNOLOGY
Entity type:Organization
Organization Name:CHANGING TIMES MEDICAL TECHNOLOGY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-593-1595
Mailing Address - Street 1:1230 S PARKER RD STE 208
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2119
Mailing Address - Country:US
Mailing Address - Phone:303-593-1595
Mailing Address - Fax:303-955-5963
Practice Address - Street 1:1230 S PARKER RD STE 208
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2119
Practice Address - Country:US
Practice Address - Phone:720-404-0424
Practice Address - Fax:303-955-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty