ROCKY MOUNTAIN FERTILITY LAB (NPI# 1124276688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124276688 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN FERTILITY LAB |
| Practice Address |
9235 Crown Crest Blvd Suite 250 Parker CO 80138 |
| Practice Telephone | 3039993877 |
| Practice Fax Number | 3039993878 |
| Mailing Telephone | 3039993877 |
| Mailing Fax Number | 3039993878 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | DR. DEBORAH L SMITH (OWNER) |
| Authorized Official Telephone | 3039993877 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ROCKY MOUNTAIN FERTILITY CENTER, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rocky Mountain Fertility Lab, LLC | 12770 Lynnfield Dr, Meridian International Business Ctr, Englewood, CO 80112-4128 |
| Street Address |
9235 CROWN CREST BLVD SUITE 250 |
| City | PARKER |
| State | CO |
| Zip Code | 80138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999895 | Ravi C Shah | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2005-11-16 |
| 1013440726 | Andrea Crandall | Nurse Practitioner | 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138-8880 | 2017-04-10 |
| 1720511058 | Mainstreet Pediatrics | Pediatrics | 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138-8880 | 2017-04-04 |
| 1043633647 | Pediatric and Adolescent Medicine Associates PC | Clinic/Center | 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138-8880 | 2014-02-03 |
| 1659632040 | Jaime Lynn Fell | Physician Assistant | 9235 Crown Crest Blvd, 100, Parker, CO 80138-8880 | 2012-06-02 |
| 1801119383 | Janae Ila Haycock | Nurse Practitioner | 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138-8880 | 2010-03-11 |
| 1861635666 | Sarah Elizabeth Smith | Physician Assistant | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2009-04-09 |
| 1457518680 | Jeffrey K Tamsing | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2008-05-16 |
| 1457557191 | Kathryn Ann Polovitz | Internal Medicine | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2007-06-21 |
| 1538280466 | Neurology of The Rockies, LLC | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2007-04-02 |
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|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
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| 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. |
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|---|---|---|---|---|
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| 1306110549 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2012-03-06 |
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| 1639790835 | Bready Diagnostic Laboratory LLC | Clinical Medical Laboratory | 695 S Colorado Blvd Ste 250, Denver, CO 80246-8091 | 2020-04-29 |
| 1295354371 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 9950 W 80th Ave Ste 23, Arvada, CO 80005-3914 | 2020-04-09 |
| 1972138345 | University Physicians Incorporated | Clinical Medical Laboratory | 12705 E. Montview Blvd, Bioscience 2, Room 3106, Aurora, CO 80045-7108 | 2020-03-06 |
| 1164054896 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 13402 W Coal Mine Ave Ste 300, Littleton, CO 80127-5407 | 2020-02-11 |
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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.