Organization Active NPI

Direct Laboratory Services, LLC

  • Clinical Medical Laboratory
  • Aurora, CO
National Provider Identifier
1639747413
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIRECT LABORATORY SERVICES, LLC
Practice address
11059 E Bethany Dr Ste 275
Aurora, CO 80014-2672
Phone
(281) 707-8597
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Mr. Andrew Kwong
Title
Partner
Phone
(303) 960-2865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11059 E Bethany Dr Ste 275
Aurora, CO 80014-2672

Mailing address

11059 E Bethany Dr Ste 275
Aurora, CO 80014-2672

National Provider Directory

National Provider Directory

Locations

11059 E Bethany Dr
Ste 275
Aurora, CO 80014
Phone (281) 707-8597

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1639747413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11059 E BETHANY DR STE 275",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11059 E BETHANY DR STE 275",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142672",
            "telephone_number": "281-707-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "KWONG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-960-2865",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.