Provider Demographics
NPI:1770738650
Name:ASL-DEN LLC
Entity type:Organization
Organization Name:ASL-DEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ATHANASSIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAIOANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-916-3200
Mailing Address - Street 1:658 GRASSMERE PARK STE 102
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3683
Mailing Address - Country:US
Mailing Address - Phone:615-916-3200
Mailing Address - Fax:615-916-3218
Practice Address - Street 1:6116 E WARREN AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5703
Practice Address - Country:US
Practice Address - Phone:303-512-2216
Practice Address - Fax:303-692-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
MD2125291U00000X
06D0512826291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0145662-00Medicaid
OK200239440AMedicaid
MT1770738650Medicaid
ID1770738650Medicaid
SD1770738650Medicaid
WA2040427Medicaid
CO88509761Medicaid
WY127960200Medicaid
UT1770738650Medicaid
NM58200878Medicaid
VA1770738650Medicaid
NV1770738650Medicaid
KY7100300880Medicaid
AR210087709Medicaid
AZ445399Medicaid
NE10025736500Medicaid
MO1770738650Medicaid
NC1770738650Medicaid
KS200601720AMedicaid
VA1770738650Medicaid