Individual provider Active NPI

Irma Machado

  • Clinical Medical Laboratory
  • Denver, CO
National Provider Identifier
1972202448
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
06D2220545 Issued in CO
Practice address
5055 E Kentucky Ave Ste C
Denver, CO 80246-2279
Phone
(559) 999-3965
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 06D2220545 CO Primary

Addresses

Primary practice location

5055 E Kentucky Ave Ste C
Denver, CO 80246-2279

Mailing address

5055 E Kentucky Ave Ste C
Denver, CO 80246-2279
Phone (720) 212-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06D2220545COMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Ime Enterprises Co Clinical Medical Laboratory CurrentSince Apr 16, 2023 Accepting new patients

Locations

5055 E Kentucky Ave
Ste C
Denver, CO 80246
Phone (303) 377-5280

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1972202448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E KENTUCKY AVE STE C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462279",
            "telephone_number": "720-212-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E KENTUCKY AVE STE C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462279",
            "telephone_number": "559-999-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "IRMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": "06D2220545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.