1. Home
  2. Directory
  3. Colorado
  4. Lafayette
  5. Psychiatry Neurology
  6. NPI Profile

LAFAYETTE CLINIC NEUROLOGY
NPI 1114674363
Psychiatry & Neurology - Neurology in Lafayette, CO

Active since March 08, 2022CLIA 06D2264074 · Waiver
300 EXEMPLA CIR STE 230, LAFAYETTE, CO 80026(303) 673-1370(720) 616-6995 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Mar 8, 2022 (2 updates tracked since 2022).

About Lafayette Clinic Neurology NPPES

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

LAFAYETTE CLINIC NEUROLOGY (NPI 1114674363) is a healthcare organization registered as a neurology in Lafayette, Colorado and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1114674363
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address300 EXEMPLA CIR STE 230Lafayette, CO 80026-2906
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564
Phone(303) 673-1370
Fax(720) 616-6995
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateMarch 8, 2022
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1114674363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
300 EXEMPLA CIR STE 230, Lafayette, CO 80026
Open in Google Maps ↗

Other Names 1

Doing Business AsLafayette Clinic Neurology

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 06D2264074

Lafayette Clinic - Neurology · Lafayette, CO
Active · expires Jul 10, 2028
CLIA Number06D2264074
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorDr. Patrick Bushard
Laboratory Phone(303) 673-1370
Laboratory LocationLafayette Clinic - Neurology300 Exempla Circle, Suite 300, Lafayette, CO 80026
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CAREPOINT NEUROSURGERY PLLC
Neurological Surgery
300 EXEMPLA CIR STE 230
LAFAYETTE, CO 80026
Boulder County (720) 441-4021
SURGONE, PC
Surgery
300 EXEMPLA CIR STE 230
LAFAYETTE, CO 80026
Boulder County (303) 325-8703
CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC
Psychiatry & Neurology (Neurology)
300 EXEMPLA CIR STE 230
LAFAYETTE, CO 80026
Boulder County (303) 781-4485
DR. AMELIA CARWIN MD
Psychiatry & Neurology (Neurology)
300 EXEMPLA CIR STE 230
LAFAYETTE, CO 80026
Boulder County (303) 781-4485

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 1114674363. It was assigned to this organization in the NPPES registry on March 8, 2022. The provider is doing business as Lafayette Clinic Neurology.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 300 Exempla Cir Ste 230, Lafayette, CO 80026. The listed phone number is (303) 673-1370.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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

Yes. A Certificate of Waiver (number 06D2264074) is associated with this NPI, valid through July 10, 2028. 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 June 28, 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.