UNITED VEIN CENTERS OF CENTENNIAL, CO
NPI 1053928234
Surgery - Vascular Surgery in Englewood, CO

Active since September 30, 2020CLIA 10D2228702 · Waiver
3535 S LAFAYETTE ST STE 100, ENGLEWOOD, CO 80113(800) 991-6117(888) 812-8191 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2023, Sep 30, 2020 (2 updates tracked since 2020).

About United Vein Centers Of Centennial, Co NPPES

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

UNITED VEIN CENTERS OF CENTENNIAL, CO (NPI 1053928234) is a healthcare organization registered as a vascular surgery in Englewood, Colorado and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through June 29, 2027, maintains 3 additional practice locations, and lists Grace Simmons, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1053928234
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCOLORADO MEDICAL GROUP, PLLC
Location Address3535 S LAFAYETTE ST STE 100Englewood, CO 80113-3954
Mailing Address3810 Northdale Blvd Ste 150Tampa, FL 33624-1871 · (813) 961-1331 · Fax (888) 850-8316
Fax(888) 812-8191
Organization SubpartYes
Authorized OfficialGrace SimmonsCredentialing Director · (813) 867-0606
Enumeration DateSeptember 30, 2020
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1053928234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
3535 S LAFAYETTE ST STE 100, Englewood, CO 80113

Other Names 1

Doing Business AsUnited Vein Centers Of Centennial, Co

Secondary Practice Locations 3

Location 11044 S 88th St Ste 105Louisville, CO 80027-9418 · Phone (800) 991-6117 · Fax (888) 812-8191
Location 2255 Union Blvd Ste 300Lakewood, CO 80228-1859 · Phone (800) 991-6117 · Fax (888) 812-8191
Location 33665 John F Kennedy Pkwy Ste 200Fort Collins, CO 80525-3152 · Phone (800) 991-6117 · Fax (888) 812-8191

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 10D2228702

Wazni PLLC Dba United Vein Centers · Lake Worth, FL
Active · expires Jun 29, 2027
CLIA Number10D2228702
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorGamal Wazni
Laboratory Phone(813) 961-1331
Laboratory LocationWazni PLLC Dba United Vein Centers2290 10th Ave N - Ste 101, Lake Worth, FL 33461
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 8

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

Advanced Practice Midwife
3535 S LAFAYETTE ST STE 100
ENGLEWOOD, CO 80113
Advanced Practice Midwife
3535 S LAFAYETTE ST STE 100
ENGLEWOOD, CO 80113
Surgery
3535 S LAFAYETTE ST STE 100
ENGLEWOOD, CO 80113
Clinic/Center (Birthing)
3535 S LAFAYETTE ST STE 100
ENGLEWOOD, CO 80113
Surgery
3535 S LAFAYETTE ST STE 100
ENGLEWOOD, CO 80113
Advanced Practice Midwife
3535 S LAFAYETTE ST STE 100
ENGLEWOOD, CO 80113
Advanced Practice Midwife
3535 S LAFAYETTE ST STE 100
ENGLEWOOD, CO 80113
Advanced Practice Midwife
3535 S LAFAYETTE ST STE 100
ENGLEWOOD, CO 80113

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 Colorado Medical Group, PLLC's NPI number?

The NPI number for Colorado Medical Group, PLLC is 1053928234. It was assigned to this organization in the NPPES registry on September 30, 2020. The provider is doing business as United Vein Centers Of Centennial, Co.

Where is Colorado Medical Group, PLLC located?

Colorado Medical Group, PLLC is located at 3535 S Lafayette St Ste 100, Englewood, CO 80113. The listed phone number is (800) 991-6117.

What is Colorado Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Colorado Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2228702) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Colorado Medical Group, PLLC was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.