BOULDER PLASTIC SURGERY PROF LLC
NPI 1033705926
Specialist in Boulder, CO
About Boulder Plastic Surgery Prof Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOULDER PLASTIC SURGERY PROF LLC (NPI 1033705926) is a healthcare organization registered as a specialist in Boulder, Colorado and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Pam Garcia, Office Contact, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Practice 1
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 06D2197453
Boulder Plastic Surgery, PLLC · Boulder, COOther Providers at the Same Location NPPES 20
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 Boulder Plastic Surgery Prof LLC's NPI number?
The NPI number for Boulder Plastic Surgery Prof LLC is 1033705926. It was assigned to this organization in the NPPES registry on December 15, 2020.
Where is Boulder Plastic Surgery Prof LLC located?
Boulder Plastic Surgery Prof LLC is located at 4747 Arapahoe Ave, Boulder, CO 80303. The listed phone number is (720) 854-7000.
What is Boulder Plastic Surgery Prof LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Does Boulder Plastic Surgery Prof LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2197453) is associated with this NPI, valid through October 25, 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 Boulder Plastic Surgery Prof LLC was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
