Organization Active NPI

Keystone Labs LLC

  • Clinical Medical Laboratory
  • Arvada, CO
National Provider Identifier
1831898089
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Aug 2, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20230428000029 CO Part B Supplier - Independent Clinical Laboratory 8921463829 Practice locations: Arvada, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.