MOUNTAIN PEAKS DIAGNOSTICS (NPI# 1205162062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205162062 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN PEAKS DIAGNOSTICS |
| Practice Address |
502 Greenwood Ave Canon City CO 81212-3336 |
| Mailing Address |
818 Fairview Ave Canon City CO 81212-2858 |
| Practice Telephone | 7194295076 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |
| Authorized Official Name | ZACHARY LEE RUNYAN (CEO) |
| Authorized Official Telephone | 7194295076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
502 GREENWOOD AVE |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689753865 | Christopher Todd Harrigan | Urology | 502 Greenwood Ave, Canon City, CO 81212-3336 | 2006-11-06 |
| 1467649756 | Mountain Peaks Urology PC | Urology | 502 Greenwood Ave, Canon City, CO 81212-3336 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981718 | Boulder Community Health | Clinical Medical Laboratory | 6685 Gunpark Dr Ste 100, Boulder, CO 80301-3388 | 2020-10-29 |
| 1225637879 | Boulder Community Health | Clinical Medical Laboratory | 3 Superior Dr Ste 100, Superior, CO 80027-8653 | 2020-10-23 |
| 1639778921 | Denver Recovery Group LLC | Clinical Medical Laboratory | 56 E Arapahoe Rd, Littleton, CO 80122-8001 | 2020-10-19 |
| 1750990552 | Centennial State Lab, LLC | Clinical Medical Laboratory | 651 Corporate Cir Ste 104, Golden, CO 80401-5652 | 2020-07-28 |
| 1750905485 | 303 Diagnostics, LLC | Clinical Medical Laboratory | 1805 S Bellaire St Ste 222, Denver, CO 80222-4313 | 2020-05-28 |
| 1801419387 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1030 Johnson Rd Ste 200, Golden, CO 80401-6007 | 2020-05-19 |
| 1639790835 | Bready Diagnostic Laboratory LLC | Clinical Medical Laboratory | 695 S Colorado Blvd Ste 250, Denver, CO 80246-8091 | 2020-04-29 |
| 1295354371 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 9950 W 80th Ave Ste 23, Arvada, CO 80005-3914 | 2020-04-09 |
| 1972138345 | University Physicians Incorporated | Clinical Medical Laboratory | 12705 E. Montview Blvd, Bioscience 2, Room 3106, Aurora, CO 80045-7108 | 2020-03-06 |
| 1164054896 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 13402 W Coal Mine Ave Ste 300, Littleton, CO 80127-5407 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.