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MAGNOLIA MEDICAL COMPANY
NPI 1477271997
Internal Medicine - Addiction Medicine in Wheat Ridge, CO

Active since August 19, 2022CLIA 06D2043858 · Waiver
10160 W 50TH AVE UNIT 4, WHEAT RIDGE, CO 80033(303) 209-5115(720) 638-5562 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Aug 24, 2022, Aug 19, 2022 (3 updates tracked since 2022).

About Magnolia Medical Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA MEDICAL COMPANY (NPI 1477271997) is a healthcare organization registered as an addiction medicine in Wheat Ridge, Colorado and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Valerie Lavoie, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1477271997
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameMAGNOLIA MEDICAL COMPANY
Location Address10160 W 50TH AVE UNIT 4Wheat Ridge, CO 80033-2339
Mailing AddressPo Box 29605, Dept # 800927Phoenix, AZ 85038-9605 · (303) 209-5115 · Fax (720) 638-5562
Phone(303) 209-5115
Fax(720) 638-5562
Organization SubpartNo
Authorized OfficialValerie LavoiePractice Manager · (303) 209-5115
Enumeration DateAugust 19, 2022
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1477271997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
10160 W 50TH AVE UNIT 4, Wheat Ridge, CO 80033
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2043858

Magnolia Medical Group · Wheat Ridge, CO
Active · expires Feb 12, 2027
CLIA Number06D2043858
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorDr. Rai R. Pradeep
Laboratory Phone(303) 456-4882
Laboratory LocationMagnolia Medical Group10160 W 50th Ave #4, Wheat Ridge, CO 80033
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA WISIAN LPC, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10160 W 50TH AVE UNIT 4
WHEAT RIDGE, CO 80033
Jefferson County (720) 669-3470
FORTE HEALTH AND WELLNESS INC
General Practice
10160 W 50TH AVE UNIT 4
WHEAT RIDGE, CO 80033
Jefferson County (303) 456-4882

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Medical Company's NPI number?

The NPI number for Magnolia Medical Company is 1477271997. It was assigned to this organization in the NPPES registry on August 19, 2022.

Where is Magnolia Medical Company located?

Magnolia Medical Company is located at 10160 W 50th Ave Unit 4, Wheat Ridge, CO 80033. The listed phone number is (303) 209-5115.

What is Magnolia Medical Company's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Does Magnolia Medical Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2043858) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Medical Company was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.