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BOULDER VALLEY CENTER FOR DERMATOLOGY LLC
NPI 1063018000
Dermatology in Boulder, CO

Active since December 07, 2020CLIA Certified · 3 labs
3000 CENTER GREEN DR STE 260, BOULDER, CO 80301(303) 604-1444(303) 666-0911 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2024, Dec 7, 2020 (2 updates tracked since 2020).

About Boulder Valley Center For Dermatology Llc NPPES

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

BOULDER VALLEY CENTER FOR DERMATOLOGY LLC (NPI 1063018000) is a healthcare organization registered as a dermatology in Boulder, Colorado and active in the NPI registry since December 2020. The organization holds 3 active CLIA laboratory certificates and lists Sadie Nealy, Assistant Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1063018000
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBOULDER VALLEY CENTER FOR DERMATOLOGY LLC
Location Address3000 CENTER GREEN DR STE 260Boulder, CO 80301-2319
Mailing AddressPo Box 272308Fort Collins, CO 80527-2308 · (303) 604-1444 · Fax (970) 484-2251
Phone(303) 604-1444
Fax(303) 666-0911
Organization SubpartNo
Authorized OfficialSadie NealyAssistant Billing Manager · (970) 430-4602
Enumeration DateDecember 7, 2020
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1063018000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3000 CENTER GREEN DR STE 260, Boulder, CO 80301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 for Provider-Performed Microscopy Procedures (PPMP) 06D2344921

Boulder Valley Center For Dermatology PLLC · Boulder, CO
Active · expires Jun 1, 2028
CLIA Number06D2344921
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorThomas C. Gallagher
Laboratory Phone(303) 604-1444
Laboratory LocationBoulder Valley Center For Dermatology PLLC3000 Center Green Drive, Suite 260, Boulder, CO 80301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 06D1011996

Boulder Valley Center For Dermatology · Lafayette, CO
Active · expires Jul 4, 2027
CLIA Number06D1011996
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorDr. Thomas C. Gallagher
Laboratory Phone(303) 604-1444
Laboratory LocationBoulder Valley Center For Dermatology1140 W South Boulder Rd, Suite 202, Lafayette, CO 80026
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2344437

Boulder Valley Center For Dermotology PLLC · Thornton, CO
Active · expires May 21, 2028
CLIA Number06D2344437
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorThomas C. Gallagher
Laboratory Phone(303) 604-1444
Laboratory LocationBoulder Valley Center For Dermotology PLLC9195 Grant St Suite 215, Thornton, CO 80229
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

PAUL E FINEGAN PC
Chiropractor
3000 CENTER GREEN DR STE 260
BOULDER, CO 80301
Boulder County (303) 447-2737
THE THERMOGRAM CENTER, INC.
Health Educator
3000 CENTER GREEN DR STE 260
BOULDER, CO 80301
Boulder County (303) 664-1139

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 Valley Center For Dermatology LLC's NPI number?

The NPI number for Boulder Valley Center For Dermatology LLC is 1063018000. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Boulder Valley Center For Dermatology LLC located?

Boulder Valley Center For Dermatology LLC is located at 3000 Center Green Dr Ste 260, Boulder, CO 80301. The listed phone number is (303) 604-1444.

What is Boulder Valley Center For Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Boulder Valley Center For Dermatology LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Boulder Valley Center For Dermatology LLC was last updated on May 13, 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.