Organization Active NPI

Life Lite Testing Inc

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1366688129
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30813 Issued in CO
Legal business name
LIFE LITE TESTING INC
Practice address
700 Colorado Blvd
Ste 223
Denver, CO 80206-4084
Phone
(720) 257-8102
NPI assigned
Dec 29, 2008
Last updated
Apr 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Gregory W Berens
Title
Ceo
Phone
(720) 257-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30813 CO Primary

Addresses

Primary practice location

700 Colorado Blvd
Ste 223
Denver, CO 80206-4084

Mailing address

700 Colorado Blvd
Ste 223
Denver, CO 80206-4084

National Provider Directory

National Provider Directory

Locations

700 N Colorado Blvd
Ste 223
Denver, CO 80206
Phone (720) 257-8102

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1366688129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD",
            "address_2": "STE 223",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD",
            "address_2": "STE 223",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084",
            "telephone_number": "720-257-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LITE TESTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "BERENS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-257-8102"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.