Grand Teton Diagnostics Corp
NPI 1023880861 · Clinical Medical Laboratory · Richardson, TX
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Teton Diagnostics Corp is a Clinical Medical Laboratory organization in Richardson, TX (NPI 1023880861).
Provider details
- NPI number
- 1023880861
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Justin Peterson, Ceo(214) 954-7483
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
199,035 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Detection Test By Nucleic Acid for Organism, Amplified Probe Technique87798 | 90,584 | $34 |
| Identification of Organisms By Genetic Analysis, Amplified Probe Technique87150 | 34,345 | $34 |
| Detection Test for Candida Species (yeast), Amplified Probe Technique87481 | 10,778 | $34 |
| Detection Test By Nucleic Acid for Herpes Simplex Virus, Amplified Probe Technique87529 | 8,558 | $34 |
| Detection Test By Nucleic Acid for Strep (streptococcus, Group A), Quantification87652 | 5,104 | $41 |
| Detection Test By Nucleic Acid for Vancomycin Resistance Strep (vre), Amplified Probe Technique87500 | 5,092 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-25
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Frequently asked questions
- What is Grand Teton Diagnostics Corp's NPI number?
- Grand Teton Diagnostics Corp's National Provider Identifier (NPI) is 1023880861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Teton Diagnostics Corp?
- Grand Teton Diagnostics Corp is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Grand Teton Diagnostics Corp located?
- Grand Teton Diagnostics Corp's practice location on file with NPPES is 1701 N Collins Blvd Ste 1000, Richardson, TX 75080-3586.
- What is Grand Teton Diagnostics Corp's phone number?
- The practice phone number listed in the NPPES registry for Grand Teton Diagnostics Corp is (214) 954-7483.
- Does Grand Teton Diagnostics Corp accept Medicare?
- Grand Teton Diagnostics Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Teton Diagnostics Corp?
- The authorized official listed on Grand Teton Diagnostics Corp's NPPES record is Justin Peterson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Teton Diagnostics Corp's NPI active?
- Yes — Grand Teton Diagnostics Corp's NPI (1023880861) is active in the NPPES registry as of the last update on 2023-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.