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TAMARAC MEDICAL INC NPI 1104851625


NPI Information

NPI: 1104851625
Provider Name: TAMARAC MEDICAL INC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 06D0899927

Address:
3959 E ARAPAHOE RD
STE 100
CENTENNIAL, CO
ZIP 80122
Phone: (303) 794-1083
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TAMARAC MEDICAL INC is a clinical medical laboratory in Centennial, CO. The provider is (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. TAMARAC MEDICAL INC NPI is 1104851625. The provider is registered as an organization entity type.

The provider's business location address is:

3959 E ARAPAHOE RD
STE 100
CENTENNIAL, CO
ZIP 80122-070
Phone: (303) 794-1083
Fax: (303) 794-1093

The provider's authorized official is Richard Joe Rosenbaum .
The authorized official title is Laboratory Director and has the following contact phone number (303) 794-1083.

The CLIA number assigned to this NPI record is 06D0899927 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory06D0899927COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000100188MEDICAIDVIRGINIA
2100245360AMEDICAIDKANSAS
3705766301MEDICAIDMISSOURI
4100759250AMEDICAIDOKLAHOMA
5343719100MEDICAIDMINNESOTA
6=========01MEDICAIDILLINOIS
7COB5198MEDICARE PINCOLORADO
80153711MEDICAIDOHIO
96705072000MEDICAIDWEST VIRGINIA
1000666014AMEDICAIDGEORGIA
1108002669MEDICAIDCOLORADO
12146949709MEDICAIDARKANSAS
13=========00MEDICAIDNEBRASKA
14J4463MEDICAIDNEW MEXICO
1506D0899927OTHERCLIA NUMBER
160123731MEDICAIDMISSISSIPPI
171662275MEDICAIDLOUISIANA
18200061470MEDICAIDINDIANA
19=========001MEDICAIDUTAH
20C05800044MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.