Active NPI
Verdosome LLC
- Clinical Medical Laboratory
- Wheat Ridge, CO
National Provider Identifier
1417597071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- VERDOSOME LLC
- Practice address
- 7110 W 44TH Ave
Wheat Ridge, CO 80033-4724 - Phone
- (303) 577-0121
- NPI assigned
- Jan 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Thomas Blake
- Title
- General Counsel
- Phone
- (813) 480-6828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
7110 W 44TH Ave
Wheat Ridge, CO 80033-4724
Mailing address
7110 W 44TH Ave
Wheat Ridge, CO 80033-4724
Phone (720) 439-6106
National Provider Directory
National Provider DirectoryLocations
7110 W 44th Ave
Wheat Ridge, CO 80033
Phone (303) 530-1973
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1336446749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1417597071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7110 W 44TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334724",
"telephone_number": "720-439-6106",
"fax_number": "720-828-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 W 44TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334724",
"telephone_number": "303-577-0121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDOSOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-13",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "813-480-6828"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.