Mountain Peaks Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOUNTAIN PEAKS DIAGNOSTICS

Practice address

502 Greenwood Ave
Canon City, CO 81212-3336

Phone

(719) 429-5076

NPI assigned

Oct 28, 2009

Last updated

Oct 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zachary Lee Runyan

Title

Ceo

Phone

(719) 429-5076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1205162062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 FAIRVIEW AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GREENWOOD AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123336",
            "telephone_number": "719-429-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEAKS DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-429-5076"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Morgan
• Kathleen S Morlock, M.ED
• Yvonne J Morrisey, O.D.
• Tammy Gwen Moruzzi, RN
• Erin Moter
• Mountain Peaks Urology PC
• Mountain States Pathology PC
• Jennifer A Murray, DC
• Mustard Seed Health and Wellbeing
• Kelcie Myers

• Clinical Medical Laboratory in Canon City, CO
• Providers in Canon City, 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 Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.