BROOMFIELD DIAGNOSTICS LLC (NPI# 1679811582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679811582 |
| Entity Type | Organization |
| Organization Name | BROOMFIELD DIAGNOSTICS LLC |
| Practice Address |
6363 W 120th Ave Suite 302 Broomfield CO 80020-0300 |
| Practice Telephone | 3036352225 |
| Practice Fax Number | 3036351078 |
| Mailing Telephone | 3036352225 |
| Mailing Fax Number | 3036351078 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | LAWRENCE JANOWSKI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3036352225 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 42224 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 41654021 | 05 |
| Street Address |
6363 W 120TH AVE SUITE 302 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-0300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578547329 | Melinda L Sharkey | Physician Assistant | 6363 W 120th Ave, #300, Broomfield, CO 80020-0300 | 2005-12-05 |
| 1114386885 | Waking Life Counseling, LLC | Counselor | 6363 W 120th Ave, Suite 200, Broomfield, CO 80020-0300 | 2016-02-23 |
| 1104290956 | A Work In Process, LLC | Social Worker | 6363 W 120th Ave, Suite 312, Broomfield, CO 80020-0300 | 2015-11-17 |
| 1376885848 | Katie-beth Whitcomb | Counselor | 6363 W 120th Ave, Suite 200, Broomfield, CO 80020-0300 | 2013-03-22 |
| 1093049181 | Katherine Q Spooner | Social Worker | 6363 W 120th Ave, Suite 312, Broomfield, CO 80020-0300 | 2009-09-23 |
| 1912199985 | Catholic Health Initiatives Colorado | Family Medicine | 6363 W 120th Ave, Suite 202, Broomfield, CO 80020-0300 | 2007-08-14 |
| 1912117391 | Lyndon Mata | Dentist | 6363 W 120th Ave, Suite 230, Broomfield, CO 80020-0300 | 2007-05-23 |
| 1114131158 | John Paul Feeley | Dentist | 6363 W 120th Ave, Suite 230, Broomfield, CO 80020-0300 | 2007-05-09 |
| 1154545382 | Broomfield Medical Associates PC | Internal Medicine | 6363 W 120th Ave, Suite 302, Broomfield, CO 80020-0300 | 2007-04-12 |
| 1104944552 | Byford Thomas Jarvis | Dentist | 6363 W 120th Ave, Suite 205, Broomfield, CO 80020 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063600336 | Shiraz Moinuddin | Internal Medicine | 2095 W 6th Ave Ste 106, Broomfield, CO 80020-1870 | 2007-10-11 |
| 1942363114 | Edward M Fleegler | Internal Medicine | 16045 Meeker Way, Broomfield, CO 80023-8116 | 2006-12-19 |
| 1164583324 | Indira Mahalingam | Internal Medicine | 3940 Broadlands Ln, Broomfield, CO 80020-9541 | 2006-12-12 |
| 1902982291 | Alice Brunecky | Internal Medicine | 7050 W 120th Ave, Suite 121, Broomfield, CO 80020-2801 | 2006-10-28 |
| 1760564215 | Lawrence S Janowski | Internal Medicine | 6363 W 120th Avenue, Suite 302, Broomfield, CO 80020 | 2006-10-20 |
| 1942311378 | Stanley M Wilbur | Internal Medicine | 5023 W 120th Ave Ste 312, Broomfield, CO 80020-5606 | 2006-08-31 |
| 1841822277 | Cor Medical LLC | Internal Medicine | 1025 Eldorado Blvd, Broomfield, CO 80021-8254 | 2020-02-04 |
| 1265822910 | Summit Medical Consultants Pllc | Internal Medicine | 5023 W 120th Ave, Ste 312, Broomfield, CO 80020-5606 | 2015-02-03 |
| 1649530551 | Radhika Vemuri | Internal Medicine | 5023 W 120th Ave Ste 312, Broomfield, CO 80020-5606 | 2012-05-24 |
| 1437454147 | Colorado Internal Medicine Associates, PC | Internal Medicine | 3940 Broadlands Ln, Broomfield, CO 80023-9541 | 2011-01-12 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
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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.