South Spring Lab, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

SOUTH SPRING LAB, LLC

Practice address

1835 S Nevada Ave
Colorado Springs, CO 80905

Phone

(719) 634-8378

Fax

(719) 473-8378

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Terra Runyan, MA

Title

Senior Laboratory Supervisor

Phone

(719) 634-8378

Specialties & licenses 2

Addresses

Other names 1

• Any Lab Test Now - Nevada Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1760168579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 S NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80905",
            "telephone_number": "719-634-8378",
            "fax_number": "719-473-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 S NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80905",
            "telephone_number": "719-634-8378",
            "fax_number": "719-473-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SPRING LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "SENIOR LABORATORY SUPERVISOR",
        "authorized_official_telephone_number": "719-634-8378",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Any Lab Test Now - Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.