NPIMap

Organization Active NPI

Scltdi JV, LLC

Doing business as Touchstone Imaging Thornton

  • Physiological Laboratory
  • Thornton, CO
National Provider Identifier
1649677170
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
SCLTDI JV, LLC
Doing business as
Touchstone Imaging Thornton
Practice address
12021 Pennsylvania St
Suite 106
Thornton, CO 80241-3150
Phone
(303) 991-2021
Fax
(303) 991-2026
NPI assigned
Nov 26, 2014
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

12021 Pennsylvania St
Suite 106
Thornton, CO 80241-3150

Mailing address

PO Box 746001
Atlanta, GA 30374-6001

Other names 1

  • Touchstone Imaging Thornton Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 9

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2006087Touchstone Imaging Center Thornton12021 Pennsylvania St #106, Thornton, CO 80241Certificate of waiverApr 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Scltdi JV LLC11 organizations share this tax ID, including this one

Other organizations with this 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.

Locations

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

Practitioners & affiliated clinicians

Practitioners 59

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 59

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1649677170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746001",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 PENNSYLVANIA ST",
            "address_2": "SUITE 106",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413150",
            "telephone_number": "303-991-2021",
            "fax_number": "303-991-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCLTDI JV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "ROELLE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "614-689-1691"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Touchstone Imaging Thornton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Touchstone Imaging Thornton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.