Scltdi Jv, LLC
NPI 1790182509ActiveOrganization· Physiological Laboratory· Denver, CO
Physiological Laboratory in Denver, Colorado, registered in NPPES in November 2014. The authorized official on file is Katrina Roelle, Director Of Credentialing. Medicare paid $118,055 for services to 686 patients in 2024.
Overview
| NPI | 1790182509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2014 |
| Last updated in NPPES | Nov 8, 2023 |
| Certified by provider | Nov 8, 2023 |
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 | 686 |
|---|---|
| Services billed | 23,653 across 117 procedure codes |
| Paid by Medicare | $118,055 |
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