Cedar Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

06D1065912 Issued in CO

Legal business name

CEDAR DIAGNOSTICS, LLC

Practice address

555 Rivergate Ste B2-136
Durango, CO 81301-7480

Phone

(970) 247-0937

Fax

(970) 247-9579

NPI assigned

Apr 14, 2010

Organization subpart

No

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

Authorized official

Name

Athanassios L Papaioanu

Title

President & Ceo

Phone

(615) 916-3200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1235455338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 GRASSMERE PARK STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113683",
            "telephone_number": "615-916-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE STE B2-136",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017480",
            "telephone_number": "970-247-0937",
            "fax_number": "970-247-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "PAPAIOANU",
        "authorized_official_first_name": "ATHANASSIOS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "615-916-3200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": "06D1065912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D1065912",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Stacey L Cavanaugh, DPT
• Laurie Cavazza, RD
• Cedar Peaks Anesthesia Partners LLC
• Centura Health Pharmacy @ Mercy Regional Medical Center
• Andrea Chadwell, PHARMD
• Deborah Anne Chamberlain, PT
• Jeffrey David Chamberlain, M.D.

• Clinical Medical Laboratory in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.