Ccrm Donor Egg Bank LLC
Clinic/Center, Ambulatory Fertility Facility in Lone Tree, CO. Organization (NPI-2).
NPI number1104712967
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1104712967
- Entity type
- Organization (NPI-2)
- Legal business name
- Ccrm Donor Egg Bank LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2025
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0006X | Clinic/Center, Ambulatory Fertility Facility | – | – | Yes |
Practice location
10290 Ridgegate CirLone Tree, CO 80124-5331
Phone 303-788-8300 · Fax 303-788-8310
Mailing address
10290 Ridgegate CirLone Tree, CO 80124-5331
Phone 303-788-8300 · Fax 303-788-8310
Authorized official
Matt Tyson
Director, Managed Care Contracting
6154776677
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