Active NPI
Enterotrack LLC
- Clinical Medical Laboratory
- Aurora, CO
National Provider Identifier
1760228886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ENTEROTRACK LLC
- Doing business as
- EnteroTrack Labs
- Practice address
- 12635 E Montview Blvd Ste 215LC
Aurora, CO 80045-7335 - Phone
- (303) 652-7337
- NPI assigned
- Jul 8, 2024
- 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
- Robin Shandas
- Title
- Ceo
- Phone
- (303) 652-7338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
12635 E Montview Blvd Ste 215LC
Aurora, CO 80045-7335
Mailing address
1408 Kingwood PL
Boulder, CO 80304-1527
Other names 1
- EnteroTrack Labs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240828005240 | CO | Part B Supplier - Independent Clinical Laboratory | 1850830290 | Practice locations: Aurora, 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 |
|---|---|---|---|
| 06D2302580 | Enterotrack Labs | Accreditation | Feb 11, 2027 |
| 06D2339248 | Camm Molecular Core Laboratory | Registration | Feb 25, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
12635 E Montview Blvd
Ste 215LC
Aurora, CO 80045
Phone (303) 652-7337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1760228886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 KINGWOOD PL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12635 E MONTVIEW BLVD STE 215LC",
"city": "AURORA",
"state": "CO",
"postal_code": "800457335",
"telephone_number": "303-652-7337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENTEROTRACK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-08",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "SHANDAS",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "303-652-7338"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EnteroTrack Labs",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 12, 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.