Organization Active NPI

Krivanta LLC

  • Clinical Medical Laboratory
  • Woodland Park, CO
National Provider Identifier
1205624939
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KRIVANTA LLC
Practice address
800 E US Highway 24 Ste E1
Woodland Park, CO 80863-7770
Phone
(502) 907-8553
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Charan Munagala
Title
President
Phone
(502) 907-8553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

800 E US Highway 24 Ste E1
Woodland Park, CO 80863-7770

Mailing address

800 E US Highway 24 Ste E1
Woodland Park, CO 80863-7770

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
06D2323684Krivanta LLC800 E US Highway 24 Suite E1, Woodland Park, CO 80863Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

800 E US Highway 24
Ste E1
Woodland Park, CO 80863
Phone (502) 907-8553

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1205624939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E US HIGHWAY 24 STE E1",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E US HIGHWAY 24 STE E1",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637770",
            "telephone_number": "502-907-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIVANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "MUNAGALA",
        "authorized_official_first_name": "CHARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-907-8553"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.