CENTER FOR ADVANCED DIAGNOSTICS, LLC (NPI# 1154760965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154760965 |
Entity Type | Organization |
Organization Name | CENTER FOR ADVANCED DIAGNOSTICS, LLC |
Practice Address |
8101 E Lowry Blvd Suite 120 Denver CO 80230-7196 |
Practice Telephone | 3033408439 |
Practice Fax Number | 3033405996 |
Mailing Telephone | 3033408439 |
Mailing Fax Number | 3033405996 |
Enumeration Date | 2013-06-14 |
Last Update Date | 2014-09-23 |
Authorized Official Name | MR. RYAN TOBIN (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 3033202065 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 63824272 | 05 |
Street Address |
8101 E LOWRY BLVD SUITE 120 |
City | DENVER |
State | CO |
Zip Code | 80230-7196 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104817519 | Eric M Washychyn | Physician Assistant | 8101 E Lowry Blvd, Suite 260, Denver, CO 80230-7196 | 2005-11-03 |
1245856186 | Hayden Schober | Physical Therapist | 8101 E Lowry Blvd, Denver, CO 80230-7196 | 2020-06-16 |
1194215343 | Brian James Oliver | Physical Therapist | 8101 E Lowry Blvd, Denver, CO 80230-7196 | 2018-05-14 |
1629565171 | Alex Latham | Physician Assistant | 8101 E Lowry Blvd, Denver, CO 80230-7196 | 2018-04-20 |
1639600992 | Gale Thomas | Registered Nurse | 8101 E Lowry Blvd, Suite 260, Denver, CO 80230-7196 | 2017-03-27 |
1801339502 | Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | 8101 E Lowry Blvd, Suite 230, Denver, CO 80230 | 2016-11-29 |
1467857789 | Beebe Orthodontics | Exclusive Provider Organization | 8101 E Lowry Blvd, Suite 250, Denver, CO 80230-7196 | 2014-10-29 |
1033493721 | Amy Schmidt | Specialist | 8101 E Lowry Blvd, Suite 220, Denver, CO 80230-7196 | 2011-09-29 |
1790066934 | Denver Vascular Care Center LLC | Surgery | 8101 E Lowry Blvd, Suite 258, Denver, CO 80230-7196 | 2011-09-01 |
1275824708 | Courtney Fassett | Specialist | 8101 E Lowry Blvd, Suite 220, Denver, CO 80230-7196 | 2011-05-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639786445 | Eating Recovery Center | Psychiatry & Neurology | 8140 E. 5th Ave, Denver, CO 80230 | 2020-09-25 |
1871132365 | Denver Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4650 Central Park Blvd., Denver, CO 80230 | 2019-12-31 |
1366989691 | Tamara Polk | Registered Nurse | 8299 E Lowry Blvd, Denver, CO 80230 | 2017-01-25 |
1457802043 | Eating Recovery Center The Carolinas | Social Worker | 7351 E. Lowry Blvd., Suite 200, Denver, CO 80230 | 2016-10-18 |
1740635416 | Jessica Zha | Family Medicine | 1001 Yosemite Street, Denver, CO 80230 | 2016-04-29 |
1104284694 | University Physicians Incorporated | Obstetrics & Gynecology | 8111 E Lowry Blvd Ste 250, Denver, CO 80230 | 2016-01-29 |
1073984399 | Andy Taha | Transportation Broker | 7355 E 7th Ave, Denver, CO 80230 | 2015-10-13 |
1790185106 | State Board for Community Colleges and Occupational Education | Dentist | 1062 Akron Way, Bldg. #753, Denver, CO 80230 | 2014-09-04 |
1497162127 | Stacy Morsch | Registered Nurse | 1010 Yosemite Street, Denver, CO 80230 | 2014-07-15 |
1609153097 | Kimberly Jo French | Acupuncturist | 2865 S. Colorado Blvd., 105n, Denver, CO 80230 | 2011-11-14 |
Find all providers in zip 80230 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790182509 | Scltdi Jv, LLC | Physiological Laboratory | 1007 E Colfax Ave, Denver, CO 80218-1916 | 2014-11-21 |
1730348798 | Jgt, LLC | Physiological Laboratory | 1685 S Colorado Blvd # S-205, Denver, CO 80222-4000 | 2008-06-05 |
1295849537 | Schryver Medical Sales and Marketing Inc. | Physiological Laboratory | 6840 Broadway, Units A-i, Denver, CO 80221-2863 | 2006-08-17 |
1730138850 | Health Images Denver, Inc | Physiological Laboratory | 990 S Logan St, Denver, CO 80209-4130 | 2006-05-08 |
1730183161 | Community Alcohol/drug Rehabilitation Center | Physiological Laboratory | 3315 Gilpin St, Denver, CO 80205-4015 | 2005-06-13 |
1326372095 | Neurophysiologic, Inc. | Physiological Laboratory | 1651 Quebec St, Denver, CO 80220-1963 | 2009-09-28 |
1679732523 | Pbp, LLC | Physiological Laboratory | 1685 S Colorado Blvd # S-205, Denver, CO 80222-4000 | 2008-06-05 |
1780865097 | Nmc, LLC | Physiological Laboratory | 1685 S Colorado Blvd, #s-205, Denver, CO 80222-4000 | 2007-11-15 |
1881880250 | Nevis, PC | Physiological Laboratory | 1685 S Colorado Blvd, #s-205, Denver, CO 80222-4000 | 2007-09-19 |
1639365380 | Nmb, LLC | Physiological Laboratory | 1685 S Colorado Blvd, #s-205, Denver, CO 80222-4000 | 2007-09-17 |
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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.