Organization Active NPI

Grace Clinic Laboratory

  • Clinical Medical Laboratory
  • Aurora, CO
National Provider Identifier
1205234085
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GRACE CLINIC LABORATORY
Practice address
3191 S Vaughn Way
Suite 101
Aurora, CO 80014-3505
Phone
(303) 755-4600
NPI assigned
Dec 10, 2014
Organization subpart
Yes
Parent organization
GRACE HEALTH CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Suzanne Belibi, MD
Title
Administrator
Phone
(303) 755-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3191 S Vaughn Way
Suite 101
Aurora, CO 80014-3505

Mailing address

3191 S Vaughn Way
Suite 101
Aurora, CO 80014-3505
Phone (303) 755-4600

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2004180Grace Health Clinic Laboratory3191 South Vaughn Way, Aurora, CO 80014ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Grace Health Clinic2 organizations share this tax ID, including this one
Part of
Grace Health Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3191 S Vaughn Way
Ste 101
Aurora, CO 80014
Phone (303) 343-4600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1205234085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 S VAUGHN WAY",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143505",
            "telephone_number": "303-755-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 S VAUGHN WAY",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143505",
            "telephone_number": "303-755-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CLINIC LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE HEALTH CLINIC",
        "enumeration_date": "2014-12-10",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "BELIBI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-755-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.