CENTENNIAL STATE LAB, LLC
NPI 1649829987
Clinical Medical Laboratory in Colorado Springs, CO

Active since September 10, 2019
4775 CENTENNIAL BLVD STE 120, COLORADO SPRINGS, CO 80919(719) 284-3522 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2020, Sep 25, 2019, Sep 10, 2019 (3 updates tracked since 2019).

About Centennial State Lab, Llc NPPES

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

CENTENNIAL STATE LAB, LLC (NPI 1649829987) is a healthcare organization registered as a clinical medical laboratory in Colorado Springs, Colorado and active in the NPI registry since September 2019. The organization lists Stephanie Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1649829987
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCENTENNIAL STATE LAB, LLC
Location Address4775 CENTENNIAL BLVD STE 120Colorado Springs, CO 80919-3309
Mailing AddressPo Box 15351Springfield, MA 01115-5351
Organization SubpartNo
Authorized OfficialStephanie BrownOwner · (719) 284-3522
Enumeration DateSeptember 10, 2019
Last NPPES UpdateJanuary 9, 20203 updates tracked since enumeration
NPI 1649829987 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.
4775 CENTENNIAL BLVD STE 120, Colorado Springs, CO 80919

Other Identifiers 1

Other872314CO · Medicare

Accepted Insurance

Areas of Expertise CMS Part B claims 22

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.
11,450 services941 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.
2,208 services420 patients
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640
A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.
1,161 services924 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
631 services547 patients
Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique 87486
This test checks for the presence of Chlamydia pneumoniae, a bacterium that can cause respiratory infections. It uses an amplified probe technique, which magnifies the bacterium's genetic material for easier detection. It's a standard, non-invasive procedure.
629 services545 patients
Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique 87581
This test checks for Mycoplasma pneumoniae, a bacteria that can cause lung infection. It uses a method called amplified probe technique, which identifies the bacteria's genetic material. This helps in diagnosing the infection accurately.
626 services542 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 Centennial State Lab, LLC's NPI number?

The NPI number for Centennial State Lab, LLC is 1649829987. It was assigned to this organization in the NPPES registry on September 10, 2019.

Where is Centennial State Lab, LLC located?

Centennial State Lab, LLC is located at 4775 Centennial Blvd Ste 120, Colorado Springs, CO 80919. The listed phone number is (719) 284-3522.

What is Centennial State Lab, LLC's specialty?

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

What insurance does Centennial State Lab, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Centennial State Lab, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Centennial State Lab, LLC was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.