GRAND TETON DIAGNOSTICS CORP
NPI 1023880861
Clinical Medical Laboratory in Richardson, TX

Active since October 25, 2023CLIA 45D2291673 · Accreditation
1701 N COLLINS BLVD STE 1000, RICHARDSON, TX 75080(999) 999-9999 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 31, 2023, Oct 25, 2023 (2 updates tracked since 2023).

About Grand Teton Diagnostics Corp NPPES

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

GRAND TETON DIAGNOSTICS CORP (NPI 1023880861) is a healthcare organization registered as a clinical medical laboratory in Richardson, Texas and active in the NPI registry since October 2023. The organization holds an CLIA Accreditation certificate valid through December 23, 2026 and lists Justin Peterson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023880861
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameGRAND TETON DIAGNOSTICS CORP
Location Address1701 N COLLINS BLVD STE 1000Richardson, TX 75080-3586
Mailing Address1701 N Collins Blvd Ste 1000Richardson, TX 75080-3586 · (999) 999-9999
Organization SubpartNo
Authorized OfficialJustin PetersonCeo · (999) 999-9999
Enumeration DateOctober 25, 2023
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
NPI 1023880861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

1701 N COLLINS BLVD STE 1000, Richardson, TX 75080

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 Accreditation 45D2291673

Grand Teton Diagnostics Corp · Richardson, TX
Active · expires Dec 23, 2026
CLIA Number45D2291673
Laboratory TypeIndependent
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorDr. Tony Beltran
Laboratory Phone(214) 954-7483
Laboratory LocationGrand Teton Diagnostics Corp1701 N Collins Blvd Suite 1000, Richardson, TX 75080
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
90,584 services6,912 patients
Identification of organisms by genetic analysis, amplified probe technique 87150
This procedure involves identifying organisms like bacteria or viruses in your body. It's done by amplifying a small part of their genetic material, making it easier to detect. This technique helps in accurate diagnosis and appropriate treatment.
34,345 services4,497 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
10,778 services4,763 patients
Detection test by nucleic acid for herpes simplex virus, amplified probe technique 87529
This test uses an amplified probe technique to identify the presence of the herpes simplex virus in your body. It works by detecting the virus's genetic material, or nucleic acid. The test is accurate, reliable, and can help in early detection and treatment.
8,558 services3,905 patients
Detection test by nucleic acid for strep (streptococcus, group a), quantification 87652
A detection test by nucleic acid for Group A Strep is a diagnostic procedure that identifies the presence and quantity of streptococcus bacteria in your body. This test uses a sample, usually a throat swab, to detect the bacteria's genetic material. It helps in diagnosing infections like strep throat.
5,104 services4,520 patients
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500
The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.
5,092 services4,517 patients

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 Grand Teton Diagnostics Corp's NPI number?

The NPI number for Grand Teton Diagnostics Corp is 1023880861. It was assigned to this organization in the NPPES registry on October 25, 2023.

Where is Grand Teton Diagnostics Corp located?

Grand Teton Diagnostics Corp is located at 1701 N Collins Blvd Ste 1000, Richardson, TX 75080. The listed phone number is (999) 999-9999.

What is Grand Teton Diagnostics Corp's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Grand Teton Diagnostics Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2291673) is associated with this NPI, valid through December 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand Teton Diagnostics Corp was last updated on October 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.