Alta Medgen LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALTA MEDGEN LLC

Practice address

12201 Pecos St Ste 200
Denver, CO 80234-3920

Phone

(954) 662-5044

NPI assigned

Jan 30, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natalja Backo

Title

Owner

Phone

(954) 662-5044

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1063225332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 PECOS ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802343920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 PECOS ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802343920",
            "telephone_number": "954-662-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA MEDGEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "BACKO",
        "authorized_official_first_name": "NATALJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-662-5044"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Alsis
• Brittany Allison Alston, M.D.
• Meredith Johnson Alston, MD
• Zachary Devonte Alston
• Lauren Maree Alstot, PA-C
• Noe Altamirano III
• Claire McCray Altany
• Altea Medical Colorado PLLC
• Alternative Chiropractic Center,P.C.
• Alternative Health Inc

• Clinical Medical Laboratory in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.