MAGNOLIA MEDICAL GROUP
NPI 1427543586
Clinical Medical Laboratory in Denver, CO

NPI Status: Active since June 29, 2018

Contact Information

10515 40TH AVENUE SUITE 115
DENVER, CO
ZIP 80239
Phone: (303) 209-5115
Fax: (720) 504-3583

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 06D2121590
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-27-2025

About MAGNOLIA MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Magnolia Medical Group, a provider established in Denver, Colorado operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1427543586 assigned on June 2018. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Magnolia Medical Group. The authorized official of this NPI record is Mr. Pradeep Rai Md (Director)

NPI
1427543586
Provider Legal Name
MAGNOLIA MEDICAL COMPANY
Other Organization Name
MAGNOLIA MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10515 40TH AVENUE SUITE 115 DENVER, CO 80239
Location Phone
(303) 209-5115
Location Fax
(720) 504-3583
Mailing Address
10515 E 40TH AVE STE 115 DENVER, CO 80239
Mailing Phone
(303) 209-5115
Mailing Fax
(720) 504-3583
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-29-2018
Last Update Date
12-17-2024
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Establishments like Magnolia Medical Group are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License State
CO
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PRADEEP RAI MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(303) 209-5115

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2121590
Facility Type
Physician Office
Certificate Effective Date
July 28, 2023
Certificate Expiration Date
July 27, 2025
Laboratory Director
DR. GREGORY D. CLARK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Magnolia Medical Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427543586
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471046516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 0 + 4 + 6 + 5 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1427543586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427543586, enumerated in the NPI registry as an "organization" on June 29, 2018

The provider is located at 10515 40th Avenue Suite 115 Denver, Co 80239 and the phone number is (303) 209-5115

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider's CLIA number is 06D2121590 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 29, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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