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BOULDER MEDICAL CENTER, P.C.
NPI 1073146833
Clinic/Center - Multi-Specialty in Erie, CO

Active since February 19, 2020CLIA Certified · 2 labs
89 S BRIGGS ST STE 105, ERIE, CO 80516(303) 673-0448 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2023, Feb 19, 2020 (2 updates tracked since 2020).

About Boulder Medical Center, P.c. NPPES

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

BOULDER MEDICAL CENTER, P.C. (NPI 1073146833) is a healthcare organization registered as a multi-specialty in Erie, Colorado and active in the NPI registry since February 2020. The organization holds 2 active CLIA laboratory certificates and lists Casandra Richards, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073146833
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBOULDER MEDICAL CENTER, P.C.
Location Address89 S BRIGGS ST STE 105Erie, CO 80516-4063
Mailing Address2750 Broadway StBoulder, CO 80304-3573 · (303) 440-3000
Phone(303) 673-0448
Organization SubpartNo
Authorized OfficialCasandra RichardsCredentialing Coordinator · (303) 440-3076
Enumeration DateFebruary 19, 2020
Last NPPES UpdateOctober 20, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1073146833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
89 S BRIGGS ST STE 105, Erie, CO 80516
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CLIA Laboratory Certificates CMS CLIA 2

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) 06D0913765

Boulder Medical Center · Boulder, CO
Active · expires Nov 4, 2027
CLIA Number06D0913765
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorDr. Karen M. Andrews
Laboratory Phone(303) 440-3000
Laboratory LocationBoulder Medical Center2750 Broadway Attn - Melissa Johnson, Boulder, CO 80304
CLIA data matches this NPI record on: 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 for Provider-Performed Microscopy Procedures (PPMP) 06D0870647

Boulder Medical Center · Boulder, CO
Active · expires Aug 31, 2026
CLIA Number06D0870647
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Kathryn Hoch
Laboratory Phone(303) 440-3000
Laboratory LocationBoulder Medical Center4745 Arapahoe Ave, Ste 200, Boulder, CO 80304
CLIA data matches this NPI record on: 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.

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 Medical Center, P.C.'s NPI number?

The NPI number for Boulder Medical Center, P.C. is 1073146833. It was assigned to this organization in the NPPES registry on February 19, 2020.

Where is Boulder Medical Center, P.C. located?

Boulder Medical Center, P.C. is located at 89 S Briggs St Ste 105, Erie, CO 80516. The listed phone number is (303) 673-0448.

What is Boulder Medical Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Boulder Medical Center, P.C. hold CLIA laboratory certificates?

Yes. 2 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 Medical Center, P.C. was last updated on October 20, 2023. 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.