MAGNOLIA MEDICAL COMPANY (NPI# 1427543586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427543586 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA MEDICAL COMPANY |
| Other Organization Name | MAGNOLIA MEDICAL GROUP |
| Practice Address |
10515 40th Avenue Suite 115 Denver CO 80239 |
| Mailing Address |
10515 E 40th Ave Ste 115 Denver CO 80239-3264 |
| Practice Telephone | 3032095115 |
| Practice Fax Number | 7205043583 |
| Mailing Telephone | 3032095115 |
| Mailing Fax Number | 7206385562 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | MR. PRADEEP RAI (DIRECTOR) |
| Authorized Official Telephone | 3032095115 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MAGNOLIA MEDICAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CO | Laboratories |
| Other Name | Type Code |
|---|---|
| Magnolia Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549367 | Magnolia Medical Company | Counselor | 2925 E Colfax Ave, Denver, CO 80206-1604 | 2020-05-11 |
| 1043769862 | Magnolia Medical Company | Clinical Medical Laboratory | 1850 Race St, Denver, CO 80206 | 2016-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Magnolia Medical Company | 10515 East 40th Ave, Suite 115, Denver, CO 80239 |
| Street Address |
10515 40TH AVENUE SUITE 115 |
| City | DENVER |
| State | CO |
| Zip Code | 80239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799624 | Tiffanny Edelman | Behavior Technician | 12015 E. 46th Avenue Suite 680, Denver, CO 80239 | 2020-01-15 |
| 1124477427 | Mallory Jean Crouch | Counselor | 3720 Revere St., Ste. B, Denver, CO 80239 | 2016-06-07 |
| 1659760841 | Ebony Leanne Williams | Home Health Aide | 14976 E 50th Dr, Denver, CO 80239 | 2015-01-12 |
| 1154686301 | Tuesday Nicole Hennessy | Optometrist | 4804 N Chambers Rd, Denver, CO 80239 | 2012-07-12 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1699902114 | James Gabel Kaferly IIi | Pediatrics | 12600 East Albrook Dr., Montbello Family Health Center Office, Denver, CO 80239 | 2009-06-11 |
| 1073733218 | Health One Home Health Care LLC. | Home Health | 4890 Ironton St, Unit H6, Denver, CO 80239 | 2007-04-30 |
| 1164578993 | Chelle Marie Lodge-guttery | Psychologist | 10900 Smith Rd., Denver, CO 80239 | 2007-01-26 |
| 1952327975 | Russell Wm Simpson | Internal Medicine | 4896 Chambers Rd., Denver, CO 80239 | 2006-07-14 |
| 1194713164 | Hope C Beatte | Psychiatry & Neurology | 3600 Havana, Denver Women's Correctional Facility, Denver, CO 80239 | 2005-10-12 |
| Find all providers in zip 80239 | ||||
| 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 |
|---|---|---|---|---|
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| 1174167597 | Global Reach Labs, LLC | Clinical Medical Laboratory | 3400 E Bayaud Ave Ste 280, Denver, CO 80209-2927 | 2019-10-29 |
| 1053978304 | Denver Colorado Laboratory, LLC | Clinical Medical Laboratory | 1777 S Bellaire St Ste 123, Denver, CO 80222-4310 | 2019-05-22 |
| 1568922862 | Uchealth Laboratory Services Inc | Clinical Medical Laboratory | 7901 E Lowry Blvd Ste 350, Denver, CO 80230-6510 | 2019-03-22 |
| 1356865083 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 7550 W Yale Ave Ste 100, Denver, CO 80227-3465 | 2017-08-03 |
| 1932566353 | Green Man Group Diagnostics Inc | Clinical Medical Laboratory | 2934 Eudora St, Denver, CO 80207-2663 | 2016-01-16 |
| 1225428899 | Amberrae Mcleod | Clinical Medical Laboratory | 960 Grant St # 726, Denver, CO 80203-2907 | 2015-02-03 |
| 1275937310 | University Physicians, Incorporated | Clinical Medical Laboratory | 3055 Roslyn St Unit 230, Cu Advanced Reproductive Medicine Stapleton, Denver, CO 80238-3324 | 2014-10-17 |
| 1497156236 | Serodynamics, LLC | Clinical Medical Laboratory | 4785 Tejon St, Suite 101, Denver, CO 80211-1259 | 2014-09-11 |
| Find all providers in DENVER | ||||
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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.