Serodynamics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

06D2082846 Issued in CO

Legal business name

SERODYNAMICS, LLC

Practice address

4785 Tejon St
Suite 101
Denver, CO 80211-1259

Phone

(303) 990-5912

Fax

(855) 928-0101

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Beau Gertz

Title

Co-Founder / President of Sales

Phone

(303) 877-8789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1497156236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 TEJON ST",
            "address_2": "SUITE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111259",
            "telephone_number": "303-990-5912",
            "fax_number": "855-928-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 TEJON ST",
            "address_2": "SUITE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111259",
            "telephone_number": "303-990-5912",
            "fax_number": "855-928-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERODYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "GERTZ",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "CO-FOUNDER / PRESIDENT OF SALES",
        "authorized_official_telephone_number": "303-877-8789"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": "06D2082846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Sergi
• Lacie R Sergio
• Olivia Serigano, MD
• Andrea Serlet, RD
• Jorge Luis Serna, NP
• Serotiny Counseling
• Serotiny Counseling
• Serotiny Counseling
• Nicole Rae Serpa, NONE
• Mark R Serpico, MD

• Clinical Medical Laboratory in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.