Center for Advanced Diagnostics, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

CENTER FOR ADVANCED DIAGNOSTICS, LLC

Practice address

8101 E Lowry Blvd
Suite 120
Denver, CO 80230-7196

Phone

(303) 340-8439

Fax

(303) 340-5996

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Tobin

Title

Chief Operating Officer

Phone

(303) 320-2065

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Member of 1

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

• HCA-Healthone, LLC

  • General Acute Care Hospital
  • Centennial, CO
  • NPI 1396323721

  Member Of

  NPD member

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1154760965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD",
            "address_2": "SUITE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307196",
            "telephone_number": "303-340-8439",
            "fax_number": "303-340-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD",
            "address_2": "SUITE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307196",
            "telephone_number": "303-340-8439",
            "fax_number": "303-340-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "303-320-2065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63824272",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann Cemensky
• Centennial Home Health Care Inc
• Centennial Med Supply LLC
• Centennial Medical Lab LLC
• Center at Lowry, LLC
• Center for Autism and Related Disorders LLC
• Center for Autism and Related Disorders LLC
• Center for Community Excellence and Social Justice
• Center for Ethical Social Work Practice
• Center for Natural Medicine LLC

• Physiological Laboratory in Denver, CO
• Providers in Denver, CO by specialty
• Physiological Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.

Verify at the official NPI Registry.