06D2141420 CLIA NUMBER - MOUNTAIN MIND, LLC

Laboratory Demographics

CLIA Number: 06D2141420

Facility Name: MOUNTAIN MIND, LLC

Facility Address:
1863 WAZEE ST, SUITE 1G
DENVER, CO
ZIP 80202
Get Directions

Facility Phone Number: 720 788-6068

Facility Type: Other - CLINICAL RESEARCH

Certificate Type: Waiver

NPI Number: 1295241677

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	06D2141420
LAB Type	Other - CLINICAL RESEARCH
Facility Name	MOUNTAIN MIND, LLC
Street	1863 WAZEE ST, SUITE 1G
City	DENVER
State	CO
ZIP	80202
Phone	720 788-6068
CertificateType	4
CertificateEffectiveDate	12/13/2023
CertificateExpirationDate	12/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024