BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1003184177
Clinic/Center - Multi-Specialty in Greeley, CO
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 1003184177) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dennis Laraway, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 06D0709738
Banner Health Physicians Colorado LLC · Greeley, COOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1003184177. It was assigned to this organization in the NPPES registry on December 5, 2011.
Where is Banner Health Physicians Colorado LLC located?
Banner Health Physicians Colorado LLC is located at 710 11th Ave Ste 106, Greeley, CO 80631. The listed phone number is (970) 352-6353.
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 06D0709738) is associated with this NPI, valid through August 31, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Banner Health Physicians Colorado Llc · NPI 1003184177
Multi-Specialty organization in Greeley, Colorado. Organization record, active in the CMS NPPES registry since December 5, 2011.
## Identity
- **NPI:** 1003184177 (Entity type: Organization)
- **Enumerated:** December 5, 2011
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Banner Medical Group Colorado)
- **Authorized official:** Dennis Laraway, CFO
## Practice location
- **Address:** 710 11TH AVE STE 106, Greeley, CO 80631-3200
- **Phone:** (970) 352-6353
## Record status
- **NPPES last updated:** December 29, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003184177) · Data from the CMS NPPES public registry.