Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Teton Diagnostics Corp

Organization Clinical Medical Laboratory · NPI 1023880861

Grand Teton Diagnostics Corp is a Clinical Medical Laboratory in Richardson, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 N Collins Blvd Ste 1000
Richardson, TX 75080-3586
Phone: (214) 954-7483
Fax: (214) 258-5916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1023880861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Peterson — Ceo · (214) 954-7483
NPI enumeratedOctober 25, 2023
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address1701 N Collins Blvd Ste 1000, Richardson, TX 75080-3586

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