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INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY INC. NPI 1770977951


NPI Information

NPI: 1770977951
Provider Name: INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC.

Doing Business As: IMD PATH

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 06D2091162

Address:
12635 E MONTVIEW BLVD
STE 360
AURORA, CO
ZIP 80045
Phone: (303) 961-1773
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes
2291U00000XClinical Medical Laboratory195377COLORADONo

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

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