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BOULDER MEDICAL CENTER, P.C.
NPI 1144853904
Clinic/Center - Multi-Specialty in Longmont, CO

Active since February 19, 2020CLIA Certified · 2 labs
1551 PROFESSIONAL LN UNIT 240, LONGMONT, CO 80501(303) 938-4710 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Oct 20, 2023, Oct 24, 2021 and 2 more (5 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 1144853904) is a healthcare organization registered as a multi-specialty in Longmont, 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

NPI1144853904
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBOULDER MEDICAL CENTER, P.C.
Location Address1551 PROFESSIONAL LN UNIT 240Longmont, CO 80501-6967
Mailing Address2750 Broadway StBoulder, CO 80304-3573 · (303) 440-3000
Phone(303) 938-4710
Organization SubpartNo
Authorized OfficialCasandra RichardsCredentialing Coordinator · (303) 440-3076
Enumeration DateFebruary 19, 2020
Last NPPES UpdateFebruary 8, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1144853904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1551 PROFESSIONAL LN UNIT 240, Longmont, CO 80501
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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) 06D2141535

Boulder Medical Center · Longmont, CO
Active · expires Dec 14, 2027
CLIA Number06D2141535
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorDr. Kathryn Hoch
Laboratory Phone(303) 938-4710
Laboratory LocationBoulder Medical Center1551 Professional Lane Ste 240, Longmont, CO 80501
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 for Provider-Performed Microscopy Procedures (PPMP) 06D2181128

Boulder Medical Center · Erie, CO
Active · expires Mar 25, 2028
CLIA Number06D2181128
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorSamuel Jacobowitz
Laboratory Phone(303) 440-3000
Laboratory LocationBoulder Medical Center89 Briggs Street Suite 105, Erie, CO 80516
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.

Other Providers at the Same Location NPPES

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

COLORADO MEDICAL GROUP, PLLC
Surgery (Vascular Surgery)
1551 PROFESSIONAL LN UNIT 240
LONGMONT, CO 80501
Boulder County (800) 991-6117

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 1144853904. 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 1551 Professional Ln Unit 240, Longmont, CO 80501. The listed phone number is (303) 938-4710.

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 February 8, 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.