GRAND TETON DIAGNOSTICS CORP
NPI 1023880861
Clinical Medical Laboratory in Richardson, TX
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
Specialties & Licenses
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, TXAreas 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.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.