Provider Demographics
NPI:1538430616
Name:1ST CLASS MEDICAL
Entity type:Organization
Organization Name:1ST CLASS MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-909-9261
Mailing Address - Street 1:15700 PARKERHOUSE ROAD SUITE 300
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134
Mailing Address - Country:US
Mailing Address - Phone:800-520-5726
Mailing Address - Fax:
Practice Address - Street 1:15700 PARKERHOUSE ROAD SUITE 300
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134
Practice Address - Country:US
Practice Address - Phone:800-520-5726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies