Active NPI
Peak Clinical Diagnostics LLC
- Clinical Medical Laboratory
- Aurora, CO
National Provider Identifier
1821725409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PEAK CLINICAL DIAGNOSTICS LLC
- Practice address
- 2600 S Parker Rd Ste 2-125
Aurora, CO 80014-1661 - Phone
- (720) 746-9578
- Fax
- (720) 743-0465
- NPI assigned
- Aug 4, 2022
- 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
- Christopher W Edmondson
- Title
- Owner
- Phone
- (904) 582-7322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2600 S Parker Rd Ste 2-125
Aurora, CO 80014-1661
Mailing address
4464 Summer Haven Blvd S
Jacksonville, FL 32258-1456
Phone (904) 582-7322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221018000228 | CO | Part B Supplier - Independent Clinical Laboratory | 7113393067 | 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 |
|---|---|---|---|
| 06D2267171 | Peak Clinical Diagnostics LLC | Compliance | Oct 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
1450 S Havana St
Ste 628
Aurora, CO 80012
2600 S Parker Rd
Ste 2-125
Aurora, CO 80014
Phone (719) 624-3300
2600 S Parker Rd
Ste 2125
Aurora, CO 80014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1821725409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4464 SUMMER HAVEN BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322581456",
"telephone_number": "904-582-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S PARKER RD STE 2-125",
"city": "AURORA",
"state": "CO",
"postal_code": "800141661",
"telephone_number": "720-746-9578",
"fax_number": "720-743-0465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK CLINICAL DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-04",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A",
"authorized_official_last_name": "EDMONDSON",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-582-7322"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 30, 2024; 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.