Scltdi Jv, LLC
NPI 1407253982ActiveOrganization· Physiological Laboratory· Englewood, CO
Physiological Laboratory in Englewood, Colorado, registered in NPPES in November 2014. The authorized official on file is Kate Roelle, Director Of Credentialing. Medicare paid $67,081 for services to 395 patients in 2024.
Overview
| NPI | 1407253982 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2014 |
| Last updated in NPPES | Mar 14, 2024 |
| Certified by provider | Mar 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 395 |
|---|---|
| Services billed | 13,468 across 82 procedure codes |
| Paid by Medicare | $67,081 |