Active NPI
Ignite Proteomics LLC
- Clinical Medical Laboratory
- Golden, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- IGNITE PROTEOMICS LLC
- Practice address
- 15000 W 6TH Ave Ste 400
Golden, CO 80401-5047 - Phone
- (720) 420-0074
- Fax
- (720) 302-2400
- NPI assigned
- Jun 14, 2024
- Last updated
- Jan 2, 2025
- 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
- Joseph Verna
- Title
- Credentialing Speicalist
- Phone
- (484) 459-0780
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
15000 W 6TH Ave Ste 400
Golden, CO 80401-5047
Mailing address
3401 Mallory LN Ste 100
Franklin, TN 37067-8369
Phone (484) 459-0780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250220001890 | CO | Part B Supplier - Independent Clinical Laboratory | 4082134069 | Practice locations: Golden, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2177270 | Ignite Proteomics | Accreditation | Jul 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
15000 W 6th Ave
Ste 400
Golden, CO 80401
Phone (720) 420-0074
3401 Mallory Ln
Ste 100
Franklin, TN 37067
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Exton, PA
- NPI 1851401954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1740023118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 MALLORY LN STE 100",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370678369",
"telephone_number": "484-459-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 W 6TH AVE STE 400",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015047",
"telephone_number": "720-420-0074",
"fax_number": "720-302-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IGNITE PROTEOMICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-14",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "VERNA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CREDENTIALING SPEICALIST",
"authorized_official_telephone_number": "484-459-0780"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.