Provider Demographics
NPI:1437889698
Name:COLOVAX LLC
Entity type:Organization
Organization Name:COLOVAX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAIVA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, NRP
Authorized Official - Phone:720-316-9482
Mailing Address - Street 1:3575 RINGSBY CT STE 420
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-5030
Mailing Address - Country:US
Mailing Address - Phone:720-316-9482
Mailing Address - Fax:
Practice Address - Street 1:3575 RINGSBY CT STE 420
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-5030
Practice Address - Country:US
Practice Address - Phone:720-316-9482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-12
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty