MEDICARE: STATLAB DIAGNOSTICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1790387223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATLAB DIAGNOSTICS, LLC

Provider Business Mailing Address
First Line	:	3810 IRVING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211
Country	:	US
Telephone Number	:	303-756-1020
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 IRVING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211
Country	:	US
Telephone Number	:	303-756-1020
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHIDEH KERMAN
Credential	:
Telephone Number	:	303-547-2100

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	02/10/2023

Similar Medicare Providers

1770448193 — ROBERT ANTHONY WILLIAMS RN
Practice Location Address:

3405 W 32ND AVE APT 1007
DENVER, CO
80211-4942

Practice Phone: 303-666-2088
Practice Fax: 303-666-2346

1457084675 — EMMA DUECK
Practice Location Address:

2490 W 26TH AVE STE 300
DENVER, CO
80211-5314

Practice Phone: 303-831-9393
Practice Fax:

1831512730 — LIZA M TORRES GIUSTI LPC
Practice Location Address:

3213 W 25TH AVE
DENVER, CO
80211-4663

Practice Phone: 720-357-6193
Practice Fax:

1477416618 — VICTORIA BROWN LPCC
Practice Location Address:

2727 BRYANT ST STE 610
DENVER, CO
80211-4153

Practice Phone: 720-575-3453
Practice Fax:

1114324399 — NICHOLAS BROWN DPT
Practice Location Address:

2490 W 26TH AVE STE 220A
DENVER, CO
80211-5385

Practice Phone: 720-694-8686
Practice Fax:

1164950408 — FELINA PILCHER
Practice Location Address:

2460 W 26TH AVE STE 217
DENVER, CO
80211-5308

Practice Phone: 303-322-7108
Practice Fax:

1417955790 — JUNIPER PARK, LP
Practice Location Address:

2205 W 29TH AVE
DENVER, CO
80211-3803

Practice Phone: 303-458-1112
Practice Fax: 303-433-1212

Directions to “STATLAB DIAGNOSTICS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.