NPIMap

Organization Active NPI

Advanced Diagnostic Fna Biopsy Clinic, LLC

  • Cytopathology Physician
  • Louisville, CO
National Provider Identifier
1386019495
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
DR.0056076 Issued in CO
Legal business name
ADVANCED DIAGNOSTIC FNA BIOPSY CLINIC, LLC
Practice address
400 S. McCaslin Blvd.
Suite 213
Louisville, CO 80027
Phone
(970) 214-7849
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Rose Montoya, M.D.
Title
Director/Cytopathologist
Phone
(970) 214-7849

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZC0500X DR.0056076 CO Primary
Clinic/Center 261Q00000X DR.0056076 CO

Addresses

Primary practice location

400 S. McCaslin Blvd.
Suite 213
Louisville, CO 80027

Mailing address

400 S McCaslin Blvd Ste 213
Superior, CO 80027-8700
Phone (970) 214-7849

Other names 1

  • Precision Diagnostic FNA Biopsy Clinc, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

400 S McCaslin Blvd
Ste 213
Superior, CO 80027
Phone (303) 604-6164

Practitioners & affiliated clinicians

Practitioners 2

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": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386019495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 213",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278700",
            "telephone_number": "970-214-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. MCCASLIN BLVD.",
            "address_2": "SUITE 213",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "970-214-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC FNA BIOPSY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR/CYTOPATHOLOGIST",
        "authorized_official_telephone_number": "970-214-7849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "CO",
            "license": "DR.0056076",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "DR.0056076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Diagnostic FNA Biopsy Clinc, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.