BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1003154949
Clinic/Center - Multi-Specialty in Greeley, CO

Active since January 28, 2013CLIA 53D2207919 · Waiver
2001 70TH AVE, GREELEY, CO 80634(970) 392-2135(970) 378-3825 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Banner Health Physicians Colorado Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER HEALTH PHYSICIANS COLORADO LLC (NPI 1003154949) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003154949
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address2001 70TH AVEGreeley, CO 80634-4621
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(970) 378-3825
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateJanuary 28, 2013
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
NPI 1003154949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2001 70TH AVE, Greeley, CO 80634

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2207919

Banner Health Clinic · Riverton, WY
Active · expires Dec 30, 2026
CLIA Number53D2207919
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorSameh Abuerreish
Laboratory Phone(602) 747-4000
Laboratory LocationBanner Health Clinic2300 Gasser Rd, Riverton, WY 82501
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
2001 70TH AVE
GREELEY, CO 80634
Physical Therapist (Orthopedic)
2001 70TH AVE, SUITE 200
GREELEY, CO 80634
Clinic/Center (Radiology)
2001 70TH AVE
GREELEY, CO 80634
Pharmacist
2001 70TH AVE
GREELEY, CO 80634
Pharmacy (Community/Retail Pharmacy)
2001 70TH AVE, STE 104
GREELEY, CO 80634
Clinic/Center (Radiology)
2001 70TH AVE
GREELEY, CO 80634
Clinic/Center (Urgent Care)
2001 70TH AVE, SUITE 110
GREELEY, CO 80634
Pediatrics
2001 70TH AVE
GREELEY, CO 80634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Health Physicians Colorado LLC's NPI number?

The NPI number for Banner Health Physicians Colorado LLC is 1003154949. It was assigned to this organization in the NPPES registry on January 28, 2013.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 2001 70th Ave, Greeley, CO 80634. The listed phone number is (970) 392-2135.

What is Banner Health Physicians Colorado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Banner Health Physicians Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2207919) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Health Physicians Colorado LLC was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.