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DENVER WEST CLINIC - PRMARY CARE
NPI 1114531522
Family Medicine in Lakewood, CO

Active since September 02, 2020CLIA 06D0907634 · Waiver
1726 COLE BLVD STE 350, LAKEWOOD, CO 80401(303) 403-7381(303) 403-7392 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 3, 2024, Jul 24, 2024, Jun 28, 2024 and 2 more (5 updates tracked since 2020).

About Denver West Clinic - Prmary Care NPPES

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

DENVER WEST CLINIC - PRMARY CARE (NPI 1114531522) is a healthcare organization registered as a family medicine in Lakewood, Colorado and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1114531522
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address1726 COLE BLVD STE 350Lakewood, CO 80401-3213
Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566
Phone(303) 403-7381
Fax(303) 403-7392
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231
Enumeration DateSeptember 2, 2020
Last NPPES UpdateDecember 3, 20245 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1114531522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1726 COLE BLVD STE 350, Lakewood, CO 80401
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Other Names 1

Doing Business AsDenver West Clinic - Prmary Care

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 06D0907634

Denver West Clinic - Primary Care · Lakewood, CO
Active · expires Jun 23, 2027
CLIA Number06D0907634
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorTish R. Landrum
Laboratory Phone(303) 403-7381
Laboratory LocationDenver West Clinic - Primary Care1726 Cole Blvd, Suite 350, Lakewood, CO 80401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only 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.

JAMIESON MARIE LEHTO FNP-C
Nurse Practitioner (Family)
1726 COLE BLVD STE 350
LAKEWOOD, CO 80401
Jefferson County (303) 403-7381
ERICA MELKONIAN DO
Family Medicine
1726 COLE BLVD STE 350
GOLDEN, CO 80401
Jefferson County (303) 403-7381

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 1114531522. It was assigned to this organization in the NPPES registry on September 2, 2020. The provider is doing business as Denver West Clinic - Prmary Care.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 1726 Cole Blvd Ste 350, Lakewood, CO 80401. The listed phone number is (303) 403-7381.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 06D0907634) is associated with this NPI, valid through June 23, 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 Intermountain Medical Group Denver, LLC was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.