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Grand Teton Diagnostics Corp

Clinical Medical Laboratory in Richardson, TX · enumerated 2023 · authorized official Justin Peterson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023880861

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Teton Diagnostics Corp
Practice address 1701 N Collins Blvd Ste 1000, Richardson, TX, 75080
Fax (214) 258-5916
Enumeration date Oct 25, 2023
Last updated in NPPES Oct 31, 2023

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Justin Peterson
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Grand Teton Diagnostics Corp?
NPPES lists Justin Peterson (Ceo) as the authorized official for this organization.
What is the NPI number for Grand Teton Diagnostics Corp?
The NPI for Grand Teton Diagnostics Corp is 1023880861, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-31.