Cottonwood Diagnostics LLP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COTTONWOOD DIAGNOSTICS LLP

Practice address

12351 S Gateway Park PL
Suite D-600
Draper, UT 84020-9581

Phone

(801) 201-1763

Fax

(801) 683-9907

NPI assigned

Sep 26, 2016

Organization subpart

No

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

Authorized official

Name

Michael Murano

Title

Owner

Phone

(801) 201-1763

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1699224121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 S GATEWAY PARK PL",
            "address_2": "SUITE D-700",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209581",
            "telephone_number": "801-201-1763",
            "fax_number": "801-683-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 S GATEWAY PARK PL",
            "address_2": "SUITE D-600",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209581",
            "telephone_number": "801-201-1763",
            "fax_number": "801-683-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD DIAGNOSTICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "MURANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-201-1763"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "46D2118660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "027544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Draper, UT
• Providers in Draper, UT by specialty
• Clinical Medical Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.