CENTENNIAL STATE LAB, LLC (NPI# 1750990552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750990552 |
Entity Type | Organization |
Organization Name | CENTENNIAL STATE LAB, LLC |
Practice Address |
651 Corporate Cir Ste 104 Golden CO 80401-5652 |
Practice Telephone | 3038002595 |
Practice Fax Number | 3038002596 |
Mailing Telephone | 3038002595 |
Mailing Fax Number | 3038002596 |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-07-28 |
Authorized Official Name | STEPHANIE L BROWN (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 7192843522 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649829987 | Centennial State Lab, LLC | Clinical Medical Laboratory | 4775 Centennial Blvd Ste 120, Colorado Springs, CO 80919-3309 | 2019-09-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Centennial State Lab, LLC | 6245 W 53rd Ave, Arvada, CO 80002 |
Street Address |
651 CORPORATE CIR STE 104 |
City | GOLDEN |
State | CO |
Zip Code | 80401-5652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
1255853826 | Angela Kathryn Brickman | Behavior Technician | 714 Ridgeside Drive, Golden, CO 80401 | 2017-07-14 |
1710408240 | Catherine Camacho | Psychologist | 913 Arapahoe St, Golden, CO 80401 | 2017-07-06 |
1710420492 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 17101 S Golden Rd., Golden, CO 80401 | 2016-11-29 |
1366991051 | Britta Marie Olson | Physical Therapist | 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 | 2016-09-23 |
1003284209 | Maria Alta Mcvey | Dental Hygienist | 2305 Jackson St., Golden, CO 80401 | 2015-09-04 |
1548644479 | Christine Rodriguez | Dental Hygienist | 2305 Jackson Street, Golden, CO 80401 | 2015-07-09 |
1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
1942644844 | Golden Kids Dental | Dentist | 2421 Ford St., Golden, CO 80401 | 2013-04-22 |
Find all providers in zip 80401 |
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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1801419387 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1030 Johnson Rd Ste 200, Golden, CO 80401-6007 | 2020-05-19 |
1588030514 | Insight Labs, LLC | Clinical Medical Laboratory | 651 Corporate Cir, Suite 104, Golden, CO 80401-5651 | 2015-08-13 |
1083945588 | Metwest Inc | Clinical Medical Laboratory | 2801 Youngfield St Ste 120, Golden, CO 80401-0208 | 2010-01-22 |
1861917536 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2801 Youngfield St Ste 120, Golden, CO 80401-0208 | 2017-08-03 |
1801310594 | Quest Diagnostics Clinical Laboratories Inc. | Clinical Medical Laboratory | 1707 Cole Blvd Ste 150, Golden, CO 80401-3255 | 2017-08-03 |
1336527365 | Baby Genes, Inc. | Clinical Medical Laboratory | 15000 W 6th Ave, Suite 150, Golden, CO 80401-6586 | 2015-05-11 |
1265760201 | Laboroatory Corporation of America | Clinical Medical Laboratory | 1030 Johnson Rd, Ste 200, Golden, CO 80401-6003 | 2009-12-03 |
1801124847 | Laboratory Corporation of America | Clinical Medical Laboratory | 1823 Ford St, Golden, CO 80401-2464 | 2009-12-03 |
1609001593 | Metwest Inc | Clinical Medical Laboratory | 1707 Cole Blvd, Golden, CO 80401-3220 | 2009-05-20 |
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1750981718 | Boulder Community Health | Clinical Medical Laboratory | 6685 Gunpark Dr Ste 100, Boulder, CO 80301-3388 | 2020-10-29 |
1225637879 | Boulder Community Health | Clinical Medical Laboratory | 3 Superior Dr Ste 100, Superior, CO 80027-8653 | 2020-10-23 |
1639778921 | Denver Recovery Group LLC | Clinical Medical Laboratory | 56 E Arapahoe Rd, Littleton, CO 80122-8001 | 2020-10-19 |
1750905485 | 303 Diagnostics, LLC | Clinical Medical Laboratory | 1805 S Bellaire St Ste 222, Denver, CO 80222-4313 | 2020-05-28 |
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 |
1174167597 | Global Reach Labs, LLC | Clinical Medical Laboratory | 3400 E Bayaud Ave Ste 280, Denver, CO 80209-2927 | 2019-10-29 |
1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
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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.