Neuroganics LLC

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

NEUROGANICS LLC

Practice address

10190 Bannock St Ste 102
Northglenn, CO 80260-6052

Phone

(720) 431-3495

NPI assigned

May 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Donald Channing Cooper, PH.D.NPI 1457973794

Title

Chief Science Officer

Phone

(720) 431-3495

Specialties & licenses 1

Addresses

Other names 1

• Neuroganics Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Donald Channing Cooper, PH.D.

  • Clinical Laboratory Director (Non-physician)
  • Northglenn, CO
  • NPI 1457973794
  NPD Authorized official

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588982400000",
    "number": "1801418140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 BANNOCK ST STE 102",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606052",
            "telephone_number": "720-431-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 BANNOCK ST STE 102",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606052",
            "telephone_number": "720-431-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROGANICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-09",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHANNING",
        "authorized_official_title_or_position": "CHIEF SCIENCE OFFICER",
        "authorized_official_telephone_number": "720-431-3495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "https://register.covidscandx.com/",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "address_1": "10190 Bannock St Ste 102",
            "city": "Northglenn",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802606052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Neuroganics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Pathology/Laboratory Medicine Physician in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Clinical Pathology/Laboratory Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.