NPIMap

Organization Active NPI

Healthone Irl Pathology Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Englewood, CO
National Provider Identifier
1467978668
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
HEALTHONE IRL PATHOLOGY SERVICES, LLC
Practice address
501 E Hampden Ave
Englewood, CO 80113-2702
Phone
(954) 717-0275
NPI assigned
Aug 18, 2017
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Michael J Davis, COO
Title
Authorized Official
Phone
(561) 402-4256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

501 E Hampden Ave
Englewood, CO 80113-2702

Mailing address

PO Box 744326
Atlanta, GA 30374-4326
Phone (561) 402-4256

Other practice location 1

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (954) 717-0275

Other practice location 2

4567 E 9th Ave
Denver, CO 80220-3908
Phone (954) 717-0275

Other practice location 3

1719 E 19th Ave
Denver, CO 80218-1235
Phone (954) 717-0275

Other practice location 4

1501 S Potomac St
Aurora, CO 80012-5411
Phone (954) 717-0275

Other practice location 5

9191 Grant St
Thornton, CO 80229-4361
Phone (954) 717-0275

Other identifiers 1

IdentifierTypeStateIssuer
9000152753MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171106002492 CO Part B Supplier - Clinic/Group Practice 4082970199 Receives reassigned benefits from 22 practitioners
Practice locations: Aurora, CO; Thornton, CO; Lone Tree, CO; Denver, CO; Englewood, CO

National Provider Directory

National Provider Directory
Tax ID family
HCA Healthone Aurora6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • HCA-Healthone, LLC

    dba Behavioral Health Outpatient Services at Saddle Rock

    • General Acute Care Hospital
    • Aurora, CO
    • NPI 1336868017

    Member Of

    NPD member

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1467978668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744326",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744326",
            "telephone_number": "561-402-4256",
            "fax_number": "866-262-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132702",
            "telephone_number": "954-717-0275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Ridgegate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245522",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4567 E 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802203908",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1719 E 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181235",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 S Potomac St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800125411",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9191 Grant St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294361",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHONE IRL PATHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-402-4256",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000152753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.