Provider Demographics
NPI:1225767098
Name:SIGNAL DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:SIGNAL DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LAB DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGYAR
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:701-367-8519
Mailing Address - Street 1:1700 BASSETT ST UNIT 1010
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1921
Mailing Address - Country:US
Mailing Address - Phone:701-367-8519
Mailing Address - Fax:
Practice Address - Street 1:12365 E MONTVIEW BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:707-307-3151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory