Organization Active NPI

Ignite Proteomics LLC

  • Clinical Medical Laboratory
  • Golden, CO
National Provider Identifier
1740023118
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Joseph VernaNPI 1851401954
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250220001890 CO Part B Supplier - Independent Clinical Laboratory 4082134069 Practice locations: Golden, CO

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
06D2177270Ignite Proteomics15000 W 6TH Ave, Suite 400, Golden, CO 80401AccreditationJul 26, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.