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Organization

MAGNOLIA MEDICAL COMPANY

Active
Parent organization
MAGNOLIA MEDICAL LLC
Other names
Magnolia Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAGNOLIA MEDICAL LLC
Authorized official
MR. PRADEEP RAI MD (DIRECTOR)
(303) 209-5115
Entity
Organization

Contact information

Practice address
10515 40TH AVENUE SUITE 115, DENVER, CO 80239
(303) 209-5115
(720) 504-3583
Mailing address
PO BOX 29605, DEPT # 800927, PHOENIX, AZ 85038-9605
(303) 209-5115
(720) 638-5562

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CO

Other

Enumeration date
06/29/2018
Last updated
02/17/2026
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