Organization Active NPI

Verdosome LLC

  • Clinical Medical Laboratory
  • Wheat Ridge, CO
National Provider Identifier
1417597071
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jun 24, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.