Organization Active NPI

Meridian Diagnostics LLC

  • Clinical Medical Laboratory
  • Colorado Springs, CO
National Provider Identifier
1760085443
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MERIDIAN DIAGNOSTICS LLC
Practice address
75 Printers Pkwy Ste 100
Colorado Springs, CO 80910-3151
Phone
(719) 463-0040
Fax
(719) 463-0110
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Rhyan Walcott
Title
Ceo
Phone
(719) 463-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

75 Printers Pkwy Ste 100
Colorado Springs, CO 80910-3151

Mailing address

75 Printers Pkwy Ste 100
Colorado Springs, CO 80910-3151
Phone (719) 463-0040

National Provider Directory

National Provider Directory

Locations

75 Printers Pkwy
Ste 100
Colorado Springs, CO 80910
Phone (321) 663-5601

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1760085443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINTERS PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103151",
            "telephone_number": "719-463-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINTERS PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103151",
            "telephone_number": "719-463-0040",
            "fax_number": "719-463-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "WALCOTT",
        "authorized_official_first_name": "RHYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-463-0040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "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 Jun 5, 2024; 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.