Organization Active NPI

Rose Pathology

  • Clinical Medical Laboratory
  • Northglenn, CO
National Provider Identifier
1417900481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ROSE PATHOLOGY
Practice address
11990 Grant St
Ste 314
Northglenn, CO 80233-1137
Phone
(303) 813-9635
Fax
(303) 813-9545
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jackie Mills
Title
Office Manager
Phone
(303) 813-4402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CO Primary

Addresses

Primary practice location

11990 Grant St
Ste 314
Northglenn, CO 80233-1137

Mailing address

4567 E 9TH Ave
Denver, CO 80220-3908
Phone (303) 320-2250

National Provider Directory

National Provider Directory

Locations

11990 Grant St
Ste 314
Northglenn, CO 80233
Phone (303) 813-9635

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417900481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 E 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203908",
            "telephone_number": "303-320-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST",
            "address_2": "STE 314",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331137",
            "telephone_number": "303-813-9635",
            "fax_number": "303-813-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-813-4402"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.