LAFAYETTE CLINIC NEUROSURGERY
NPI 1003514639
Neurological Surgery in Lafayette, CO

Active since February 22, 2023CLIA 06D2300667 · Waiver
340 EXEMPLA CIR STE 300, LAFAYETTE, CO 80026(303) 673-1390(720) 627-6407 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Oct 17, 2023, Feb 22, 2023 (3 updates tracked since 2023).

About Lafayette Clinic Neurosurgery NPPES

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

LAFAYETTE CLINIC NEUROSURGERY (NPI 1003514639), doing business as Lafayette Clinic - Orthopedic Spine, is a healthcare organization registered as a neurological surgery in Lafayette, Colorado and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1003514639
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address340 EXEMPLA CIR STE 300Lafayette, CO 80026-3384
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566 · Fax (303) 272-0390
Fax(720) 627-6407
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateFebruary 22, 2023
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1003514639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
340 EXEMPLA CIR STE 300, Lafayette, CO 80026

Other Names 2

Other NameLafayette Clinic Neurosurgery
Doing Business AsLafayette Clinic - Orthopedic Spine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 06D2300667

Lafayette Clinic - Neurosurgery · Lafayette, CO
Active · expires Mar 13, 2028
CLIA Number06D2300667
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorKwong Hon Chow
Laboratory Phone(303) 673-1390
Laboratory LocationLafayette Clinic - Neurosurgery340 Exempla Circle, Suite 300, Lafayette, CO 80026
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
340 EXEMPLA CIR STE 300
LAFAYETTE, CO 80026
Orthopaedic Surgery
340 EXEMPLA CIR STE 300
LAFAYETTE, CO 80026
Neurological Surgery
340 EXEMPLA CIR STE 300
LAFAYETTE, CO 80026
Physician Assistant
340 EXEMPLA CIR STE 300
LAFAYETTE, CO 80026
Neurological Surgery
340 EXEMPLA CIR STE 300
LAFAYETTE, CO 80026
Physician Assistant (Surgical)
340 EXEMPLA CIR STE 300
LAFAYETTE, CO 80026

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 Intermountain Medical Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1003514639. It was assigned to this organization in the NPPES registry on February 22, 2023. The provider is doing business as Lafayette Clinic - Orthopedic Spine. The provider is also known as Lafayette Clinic Neurosurgery.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 340 Exempla Cir Ste 300, Lafayette, CO 80026. The listed phone number is (303) 673-1390.

What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Does Intermountain Medical Group Denver, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2300667) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Denver, LLC was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.