Active NPI
Keystone Labs LLC
- Clinical Medical Laboratory
- Arvada, CO
National Provider Identifier
1831898089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- KEYSTONE LABS LLC
- Practice address
- 9122 W 88TH Ave
Arvada, CO 80005-1540 - Phone
- (303) 431-3691
- Fax
- (754) 289-2326
- NPI assigned
- Feb 27, 2023
- 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
- Raad Khaldoun Alamawi
- Title
- Owner
- Phone
- (972) 940-1978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
9122 W 88TH Ave
Arvada, CO 80005-1540
Mailing address
9122 W 88TH Ave
Arvada, CO 80005-1540
Phone (303) 431-3691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230428000029 | CO | Part B Supplier - Independent Clinical Laboratory | 8921463829 | Practice locations: Arvada, CO |
National Provider Directory
National Provider DirectoryLocations
9122 W 88th Ave
Arvada, CO 80005
Phone (303) 422-0836
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Arvada, CO
- NPI 1740481217
-
- General Practice Dentistry
- Arvada, CO
- NPI 1013034289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1831898089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9122 W 88TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800051540",
"telephone_number": "303-431-3691",
"fax_number": "754-289-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9122 W 88TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800051540",
"telephone_number": "303-431-3691",
"fax_number": "754-289-2326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "ALAMAWI",
"authorized_official_first_name": "RAAD",
"authorized_official_middle_name": "KHALDOUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-940-1978"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.