Organization Active NPI

Enterotrack LLC

  • Clinical Medical Laboratory
  • Aurora, CO
National Provider Identifier
1760228886
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Aug 12, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828005240 CO Part B Supplier - Independent Clinical Laboratory 1850830290 Practice locations: Aurora, 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
06D2302580Enterotrack Labs12635 E Montview Blvd, Aurora, CO 80045AccreditationFeb 11, 2027
06D2339248Camm Molecular Core Laboratory12635 E Montview Blvd, Suite 330, Aurora, CO 80045RegistrationFeb 25, 2028

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.