Organization Active NPI

Rocky Mountain Laboratories LLC

  • Clinical Medical Laboratory
  • Draper, UT
National Provider Identifier
1619618469
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ROCKY MOUNTAIN LABORATORIES LLC
Practice address
12217 S Lone Peak Pkwy Ste 100
Draper, UT 84020-9465
Phone
(833) 765-5227
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Donna Tipiani
Title
Billing Manager
Phone
(385) 800-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12217 S Lone Peak Pkwy Ste 100
Draper, UT 84020-9465

Mailing address

12217 S Lone Peak Pkwy Ste 100
Draper, UT 84020-9465

Other names 1

  • Rocky Mountain Laboratories LLC Other name

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
46D2257034Rocky Mountain Laboratories12217 Lone Peak Pkwy, Ste 100, Draper, UT 84020ComplianceOct 24, 2027

National Provider Directory

National Provider Directory

Locations

1400 E Southern Ave
Ste 1025
Tempe, AZ 85282
Phone (602) 313-2582

1459 E 3900 S
Ste 100
Salt Lake City, UT 84124
Phone (833) 765-5227

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1619618469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 S LONE PEAK PKWY STE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12217 S LONE PEAK PKWY STE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209465",
            "telephone_number": "833-765-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "TIPIANI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "385-800-1123"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Laboratories LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.