MONTROSE MEMORIAL HOSPITAL, INC
NPI 1952172165
Physiological Laboratory in Montrose, CO

Active since January 16, 2024
3330 S RIO GRANDE AVE, STE 100, MONTROSE, CO 81401(970) 497-5976 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physiological Laboratory
  • CLIA Number: 06D2301365
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 03-24-2026

About MONTROSE MEMORIAL HOSPITAL, INC

This page provides the complete NPI Profile along with additional information for Montrose Memorial Hospital, Inc, a provider established in Montrose, Colorado operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1952172165 assigned on January 2024. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Megan Beaver (Pfs Analyst)

NPI
1952172165 Verify this NPI
Provider Name
MONTROSE MEMORIAL HOSPITAL, INC
Entity Type
Organization
Location Address
3330 S RIO GRANDE AVE STE 100 MONTROSE, CO 81401
Location Phone
(970) 497-5976
Mailing Address
800 S 3RD ST MONTROSE, CO 81401
Mailing Phone
(970) 252-2691
Mailing Fax
(970) 240-7723
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-16-2024
Last Update Date
10-18-2024
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Location Map

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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
Taxonomy Description
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

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

MEGAN BEAVER

Authorized Official Title
PFS ANALYST
Authorized Official Phone
(970) 252-2691

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
06D2301365
Facility Type
Independent
Certificate Effective Date
March 25, 2024
Certificate Expiration Date
March 24, 2026
Laboratory Director
DR. JEFFREY T. KAY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Montrose Memorial Hospital, Inc 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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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Radiology (Vascular & Interventional Radiology)
3330 S RIO GRANDE AVE, SUITE 100
MONTROSE, CO 81401
Clinic/Center (Ambulatory Surgical)
3330 S RIO GRANDE AVE, STE 110
MONTROSE, CO 81401
Internal Medicine
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Social Worker (Clinical)
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Nurse Practitioner (Family)
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Advanced Practice Midwife
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Nurse Practitioner
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Nurse Practitioner (Family)
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Physical Medicine & Rehabilitation (Pain Medicine)
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Obstetrics & Gynecology
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Internal Medicine (Gastroenterology)
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Internal Medicine (Gastroenterology)
3330 S RIO GRANDE AVE
MONTROSE, CO 81401
Physical Medicine & Rehabilitation (Pain Medicine)
3330 S RIO GRANDE AVE, 210
MONTROSE, CO 81401
Obstetrics & Gynecology
3330 S RIO GRANDE AVE, 200
MONTROSE, CO 81401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952172165, enumerated as an "organization" on January 16, 2024.

The provider is located at 3330 S RIO GRANDE AVE STE 100 MONTROSE, CO 81401 and the phone number is (970) 497-5976.

Physiological Laboratory with taxonomy code 293D00000X.