Active NPI
Rose Pathology
- Clinical Medical Laboratory
- Northglenn, CO
National Provider Identifier
1417900481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.