COTTONWOOD DIAGNOSTICS LLP (NPI# 1699224121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699224121 |
| Entity Type | Organization |
| Organization Name | COTTONWOOD DIAGNOSTICS LLP |
| Practice Address |
12351 S Gateway Park Pl Suite D-600 Draper UT 84020-9581 |
| Mailing Address |
12351 S Gateway Park Pl Suite D-700 Draper UT 84020-9581 |
| Practice Telephone | 8012011763 |
| Practice Fax Number | 8016839907 |
| Mailing Telephone | 8012011763 |
| Mailing Fax Number | 8016839907 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | MICHAEL MURANO (OWNER) |
| Authorized Official Telephone | 8012011763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 46D2118660 | 01 | |
| COLA | 027544 | 01 |
| Street Address |
12351 S GATEWAY PARK PL SUITE D-600 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302245 | Beechtree Diagnostics, LLP | Clinical Medical Laboratory | 12351 S. Gateway Park Place, Suite D-700, Draper, UT 84020-9581 | 2015-12-02 |
| 1043202518 | Ballard Medical Products | Clinical Medical Laboratory | 12050 Lone Peak Pkwy, Draper, UT 84020-9414 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019271 | Quest Diagnostics Clinical Laboratories Inc. | Clinical Medical Laboratory | 942 Chambers St Ste 15, South Ogden, UT 84403-5131 | 2020-10-01 |
| 1679187967 | Quansys Biosciences, Inc. | Clinical Medical Laboratory | 365 N 600 W, Logan, UT 84321-3741 | 2020-09-03 |
| 1376152983 | Sports Drug Testing Laboratory, LLC | Clinical Medical Laboratory | 10644 S Jordan Gtwy Ste 200, South Jordan, UT 84095-4036 | 2020-07-29 |
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1063033249 | Arches Research, Inc. | Clinical Medical Laboratory | 1960 S 4250 W, Salt Lake City, UT 84104-4836 | 2020-04-29 |
| 1275161671 | Soft Cell L-form Laboratories LLC | Clinical Medical Laboratory | 4616 S Beehive Dr Apt 3, St George, UT 84790-1806 | 2020-03-31 |
| 1003441858 | Southwest Spine and Pain Care Specialists, LLC | Clinical Medical Laboratory | 2051 E Red Hills Pkwy Ste 7, St George, UT 84770-8671 | 2020-03-11 |
| 1750915658 | Idbydna Inc. | Clinical Medical Laboratory | 675 S Arapeen Dr Ste 301, Salt Lake City, UT 84108-1223 | 2020-02-28 |
| 1700420361 | Renalytix Ai, Inc. | Clinical Medical Laboratory | 421 S Wakara Way Ste 309, Salt Lake City, UT 84108-3549 | 2019-11-06 |
| 1205481363 | Reveal Laboratories LLC | Clinical Medical Laboratory | 7370 S Creek Rd Ste 204, Sandy, UT 84093-6113 | 2019-08-06 |
| Find all providers with the same taxonomy | ||||
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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.