Organization Active NPI

Mountain Summit Diagnostics, LLC

  • Clinical Medical Laboratory
  • Durango, CO
National Provider Identifier
1235581042
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOUNTAIN SUMMIT DIAGNOSTICS, LLC
Practice address
10 Burnett CT
Suite 325
Durango, CO 81301-3611
Phone
(972) 924-5768
NPI assigned
Jul 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Mrs. Trina Nycol Brown
Title
Paralegal
Phone
(972) 924-5768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10 Burnett CT
Suite 325
Durango, CO 81301-3611

Mailing address

10 Burnett CT
Suite 325
Durango, CO 81301-3611

National Provider Directory

National Provider Directory

Locations

10 Burnett Ct
Ste 325
Durango, CO 81301
Phone (972) 924-5768

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1235581042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BURNETT CT",
            "address_2": "SUITE 325",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813013611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BURNETT CT",
            "address_2": "SUITE 325",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813013611",
            "telephone_number": "972-924-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SUMMIT DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "NYCOL",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "972-924-5768",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.