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GRAND SUMMIT LLC
NPI 1982420329
Clinic/Center - Methadone in Albuquerque, NM

Active since December 02, 2024CLIA 32D2319585 · Waiver
13207 CENTRAL AVE NE, ALBUQUERQUE, NM 87123(505) 595-1607 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Jan 3, 2025, Dec 2, 2024 (3 updates tracked since 2024).

About Grand Summit Llc NPPES

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

GRAND SUMMIT LLC (NPI 1982420329) is a healthcare organization registered as a methadone in Albuquerque, New Mexico and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Bakhtar Ehsan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982420329
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameGRAND SUMMIT LLC
Location Address13207 CENTRAL AVE NEAlbuquerque, NM 87123-3033
Mailing Address9909 Robin Ave NeAlbuquerque, NM 87112-4061 · (505) 274-3556
Phone(505) 595-1607
Organization SubpartNo
Authorized OfficialBakhtar EhsanCfo · (831) 325-3541
Enumeration DateDecember 2, 2024
Last NPPES UpdateMay 20, 20253 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1982420329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
13207 CENTRAL AVE NE, Albuquerque, NM 87123
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 32D2319585

Grand Summit · Albuquerque, NM
Active · expires Mar 3, 2027
CLIA Number32D2319585
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorDavid Curtis Johnson
Laboratory Phone(505) 274-3556
Laboratory LocationGrand Summit13207 Central Ave NE, Albuquerque, NM 87123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Summit LLC's NPI number?

The NPI number for Grand Summit LLC is 1982420329. It was assigned to this organization in the NPPES registry on December 2, 2024.

Where is Grand Summit LLC located?

Grand Summit LLC is located at 13207 Central Ave NE, Albuquerque, NM 87123. The listed phone number is (505) 595-1607.

What is Grand Summit LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Grand Summit LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2319585) is associated with this NPI, valid through March 3, 2027. 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 Summit LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.