NPI Details
INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC. is a clinical medical laboratory in Aurora, 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. INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC. NPI is 1770977951. The provider is registered as an organization entity type.
The provider Is Doing Business As Imd Path.
The provider's business location address is:
12635 E MONTVIEW BLVD
STE 360
AURORA, CO
ZIP 80045-335
Phone: (303) 961-1773
Fax: (866) 550-3288
The provider's authorized official is Israel Villasensor .
The authorized official title is Executive Vice President/secretary and has the following contact phone number (831) 818-4051.
The CLIA number assigned to this NPI record is 06D2091162 - independent with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 3/25/2015 and was last updated on 1/25/2017.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
| 2 | 291U00000X | Clinical Medical Laboratory | | 195377 | COLORADO | No |
