Active NPI
Tamarac Medical Inc
- Clinical Medical Laboratory
- Centennial, CO
National Provider Identifier
1104851625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 06D0899927
- Legal business name
- TAMARAC MEDICAL INC
- Practice address
- 3959 E Arapahoe Rd
Ste 100
Centennial, CO 80122-2070 - Phone
- (303) 794-1083
- Fax
- (303) 794-1093
- NPI assigned
- Jul 12, 2006
- Last updated
- Mar 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Joe Rosenbaum, MD
- Title
- Laboratory Director
- Phone
- (303) 794-1083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 06D0899927 | CO | Primary |
Addresses
Primary practice location
3959 E Arapahoe Rd
Ste 100
Centennial, CO 80122-2070
Mailing address
3959 E Arapahoe Rd
Ste 100
Centennial, CO 80122-2070
Phone (303) 794-1083
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0899927 | Tamarac Medical Inc | Compliance | Jun 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
3959 E Arapahoe Rd
Ste 100
Centennial, CO 80122
Phone (303) 794-1083
7000 S Broadway
Ste 2C
Centennial, CO 80122
Phone (303) 794-1083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458518400000",
"number": "1104851625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 E ARAPAHOE RD",
"address_2": "STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801222070",
"telephone_number": "303-794-1083",
"fax_number": "303-794-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 E ARAPAHOE RD",
"address_2": "STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801222070",
"telephone_number": "303-794-1083",
"fax_number": "303-794-1093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMARAC MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2016-03-21",
"status": "A",
"authorized_official_last_name": "ROSENBAUM",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "303-794-1083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CO",
"license": "06D0899927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.