Rocky Mountain Laboratories LLC
NPI 1619618469 · Clinical Medical Laboratory · Draper, UT
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1619618469
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Donna Tipiani, Billing Manager(385) 800-1123
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 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
61,120 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) |
|---|---|---|
| Travel Allowance One Way in Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually TravelledP9603 | 45,653 | $1 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 6,191 | $9 |
| Travel Allowance One Way in Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually TravelledP9603 | 3,673 | $1 |
| Collection of Venous Blood By Venipuncture Or Urine Sample By Catheterization From an Individual in a Skilled Nursing Facility (snf) Or By a Laboratory on Behalf of a Home Health Agency (hha)G0471 | 688 | $11 |
| Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able to Identify Individual Drugs and Distinguish Between Structural Isomers (but Not Necessarily Stereoisomers), Including, But Not Limited to Gc/Ms (any Type, Single Or Tandem) and Lc/MsG0480 | 610 |
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Rocky Mountain Laboratories LLC
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.