Active NPI
Ponya Diagnostics of Colorado LLC
- Clinical Medical Laboratory
- Colorado Springs, CO
National Provider Identifier
1407760614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PONYA DIAGNOSTICS OF COLORADO LLC
- Practice address
- 4725 Town Center Dr
Colorado Springs, CO 80916-4732 - Phone
- (229) 442-7210
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 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
- Ms. Shamya Cheriese Koen
- Title
- Dir of Laboratory Admin Services
- Phone
- (229) 442-7210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
4725 Town Center Dr
Colorado Springs, CO 80916-4732
Mailing address
13 Corporate Blvd NE Ste 250
Brookhaven, GA 30329-1901
Phone (229) 442-7210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1407760614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CORPORATE BLVD NE STE 250",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303291901",
"telephone_number": "229-442-7210",
"fax_number": "404-521-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 TOWN CENTER DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809164732",
"telephone_number": "229-442-7210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PONYA DIAGNOSTICS OF COLORADO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "KOEN",
"authorized_official_first_name": "SHAMYA",
"authorized_official_middle_name": "CHERIESE",
"authorized_official_title_or_position": "DIR OF LABORATORY ADMIN SERVICES",
"authorized_official_telephone_number": "229-442-7210",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.