Cedar Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CEDAR DIAGNOSTICS, LLC

Practice address

27B Talisman Dr Unit 3
Pagosa Springs, CO 81147-7914

Phone

(970) 372-0456

Fax

(970) 507-3010

NPI assigned

Apr 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Athanassios L. Papaioanu

Title

President & Ceo

Phone

(615) 916-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Alex Raimes Cudkowicz, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Cortez, CO
  • NPI 1356539084
  NPD (past)

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1235768334",
    "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": "27B TALISMAN DR UNIT 3",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811477914",
            "telephone_number": "970-372-0456",
            "fax_number": "970-507-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D2176866",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Burleton, LPC
• Tarrie Burnett-Parker, LSW
• Bykota LLC
• Sharon Rae Carter, PH.D.
• CCC Optical PC
• Celia Lowry, LCSW LLC
• Kelly Anne Cesary, APN
• Christopher P Mills DO LLC
• Cloud 9 Chiropractic, Inc
• Lauren Cohen

• Clinical Medical Laboratory in Pagosa Springs, CO
• Providers in Pagosa Springs, 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.