NPIMap

Scltdi JV, LLC

Organization Active NPI Physiological Laboratory · Thornton, CO

NPI 1649677170 · NPPES record last updated Nov 8, 2023

Key facts

NPI
1649677170
Entity type
Organization (NPI type 2)
Primary specialty
Physiological Laboratory 293D00000X
Legal business name
SCLTDI JV, LLC
Practice address
12021 Pennsylvania St
Suite 106
Thornton, CO 80241-3150
Phone
(303) 991-2021
Fax
(303) 991-2026
NPI assigned
Nov 26, 2014
Organization subpart
No

Authorized official

Name
Katrina Roelle
Title
Director of Credentialing
Phone
(614) 689-1691

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

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.

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 58

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2006087Touchstone Imaging Center Thornton
12021 Pennsylvania St #106, Thornton, CO 80241		Certificate of waiverApr 11, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150811005645 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8820301930 Practice locations: Thornton, CO

National Provider Directory

Tax ID family
Scltdi JV LLC (11 organizations share this tax ID)

Locations

12021 Pennsylvania St
Ste 106
Thornton, CO 80241
Phone (303) 830-2708

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Yes

Addresses

Primary practice location

12021 Pennsylvania St
Suite 106
Thornton, CO 80241-3150

Mailing address

PO Box 746001
Atlanta, GA 30374-6001

Other names

  • Touchstone Imaging Thornton Doing business as

Other providers in Thornton, CO

All providers in Thornton, CO · Physiological Laboratory in Colorado

Sources for this page

Verify at the official NPI Registry.