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Contact Information

SCLTDI JV, LLC
400 INDIANA ST STE 210
GOLDEN, CO80401-5044
 Phone: 720-779-3200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for SCLTDI JV, LLC

NPI Number 1942836549
LBN Legal business name SCLTDI JV, LLC
Authorized official KATRINA ROELLE - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2020
Last updated 11/08/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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