NPIMap

Organization Active NPI

Colorado Pathology Consultants PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Brighton, CO
National Provider Identifier
1124090154
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
06D0513643 Issued in CO
Legal business name
COLORADO PATHOLOGY CONSULTANTS PC
Practice address
1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Phone
(877) 701-8188
NPI assigned
Feb 3, 2006
Organization subpart
Yes
Parent organization
AMERIPATH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristie M Dolan
Title
Vice President
Phone
(866) 697-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 06D0513643 CO Primary

Addresses

Primary practice location

1600 Prairie Center Pkwy
Brighton, CO 80601-4006

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (877) 701-8188

Other practice location 1

695 S Broadway
Suite 100
Denver, CO 80209-4003
Phone (303) 899-6900

Other practice location 2

1024 Central Park Dr
Steamboat Springs, CO 80487-8813
Phone (970) 871-2350

Other practice location 3

8300 W 38th Ave
Wheat Ridge, CO 80033-6005
Phone (877) 701-8188

Other practice location 4

1375 E 19th Ave
Denver, CO 80218-1114
Phone (303) 812-2000

Other practice location 5

200 Exempla Cir
Lafayette, CO 80026-3370
Phone (877) 701-8188

Other identifiers 7

IdentifierTypeStateIssuer
1124090154MedicaidWY
04017414MedicaidCO
06D0515651OtherCOCLIA
06D0667646OtherCOCLIA
COM5008OtherCOBCBS
06D0511273OtherCOCLIA
06D1028766OtherCOCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322001731 CO Part B Supplier - Independent Clinical Laboratory 2264323096 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brighton, CO; Denver, CO; Golden, CO; Lafayette, CO; Steamboat Springs, CO
O20040326000631 CO Part B Supplier - Clinic/Group Practice 2264323096 Receives reassigned benefits from 7 practitioners
5 other NPIs on this enrollment
Practice locations: Brighton, CO; Denver, CO; Lafayette, CO; Steamboat Springs, CO; Wheat Ridge, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2003037Ameripath/Colorado Pathology Consultants1375 E 19TH Ave, Denver, CO 80218ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Colorado Pathology Consultants PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1124090154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "877-701-8188",
            "fax_number": "303-403-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PRAIRIE CENTER PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014006",
            "telephone_number": "877-701-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 S Broadway",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802094003",
            "country_code": "US",
            "telephone_number": "303-899-6900",
            "fax_number": "303-899-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 Central Park Dr",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804878813",
            "country_code": "US",
            "telephone_number": "970-871-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 W 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336005",
            "country_code": "US",
            "telephone_number": "877-701-8188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1375 E 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181114",
            "country_code": "US",
            "telephone_number": "303-812-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Exempla Cir",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263370",
            "country_code": "US",
            "telephone_number": "877-701-8188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO PATHOLOGY CONSULTANTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "866-697-8378"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "06D0513643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124090154",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04017414",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D0515651",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D0667646",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "COM5008",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D0511273",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D1028766",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.