CENTENNIAL STATE LAB, LLC


Address: 651 Corporate Cir Ste 104, Golden, CO 80401-5652
Phone: 3038002595

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Centennial State Lab, LLC 6245 W 53rd Ave, Arvada, CO 80002

Office Location

Street Address 651 CORPORATE CIR STE 104
City GOLDEN
State CO
Zip Code 80401-5652

Providers in the same zip code

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1003284209 Maria Alta Mcvey Dental Hygienist 2305 Jackson St., Golden, CO 80401 2015-09-04
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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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Competitor

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City GOLDEN
Zip Code 80401

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Dataset Information

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.

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