Active NPI
Hometown Neurodiagnostics-Colorado LLC
- Physiological Laboratory
- Lakewood, CO
National Provider Identifier
1265803829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- HOMETOWN NEURODIAGNOSTICS-COLORADO LLC
- Practice address
- 200 Union Blvd
Ste. 200
Lakewood, CO 80228-1830 - Phone
- (405) 286-1016
- Fax
- (405) 242-2016
- NPI assigned
- Oct 8, 2015
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya L Mathew
- Title
- Administrator
- Phone
- (405) 286-1016
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Physiological Laboratory | 293D00000X | Primary | ||
| Clinical Electrophysiology Physical Therapist | 2251E1300X | |||
| EEG Specialist/Technologist | 246ZE0500X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X |
Addresses
Primary practice location
200 Union Blvd
Ste. 200
Lakewood, CO 80228-1830
Mailing address
200 Union Blvd
Ste. 200
Lakewood, CO 80228-1830
Phone (405) 286-1016
National Provider Directory
National Provider DirectoryLocations
11900 N MacArthur Blvd
Ste E2
Oklahoma City, OK 73162
Phone (405) 286-1016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1265803829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNION BLVD",
"address_2": "STE. 200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281830",
"telephone_number": "405-286-1016",
"fax_number": "405-242-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNION BLVD",
"address_2": "STE. 200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281830",
"telephone_number": "405-286-1016",
"fax_number": "405-242-2016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN NEURODIAGNOSTICS-COLORADO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "405-286-1016"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0500X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.