Mark Thomas

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

06D0665967 Issued in CO

Practice address

1555 N 17TH Ave
Greeley, CO 80631-9117

Phone

(970) 304-6415

NPI assigned

Sep 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1922557073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319117",
            "telephone_number": "970-304-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "CO",
            "license": "06D0665967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonja Jean Theriault
• Jacqueline Nicole Third, PT, DPT
• Thomas C Atwood DPM,PC
• Thomas J Pazik MD LLC
• Bethany Kaye Thomas
• Maurice E Thomas, BA
• Yvette Thomas
• Amy Suzan Thompson, CNA
• Janelle Thompson
• Joseph Thompson, DDS

• Clinical Laboratory Director (Non-physician) in Greeley, CO
• Providers in Greeley, CO by specialty
• Clinical Laboratory Director (Non-physician) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.