GRAND MESA NEPHROLOGY PLLC
NPI 1154633220
Internal Medicine - Nephrology in Grand Junction, CO

Q: What is Grand Mesa Nephrology PLLC's NPI number?

The NPI number for Grand Mesa Nephrology PLLC is 1154633220. It was assigned to this organization in the NPPES registry on July 6, 2010.

Q: What is Grand Mesa Nephrology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since July 06, 2010CLIA 06D1107393 · Microscopy

2748 CROSSROADS BLVD, GRAND JUNCTION, CO 81506(970) 255-0919(970) 255-0901 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grand Mesa Nephrology Pllc NPPES

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

GRAND MESA NEPHROLOGY PLLC (NPI 1154633220) is a healthcare organization registered as a nephrology in Grand Junction, Colorado and active in the NPI registry since July 2010. The organization holds a CLIA Microscopy certificate valid through September 30, 2026 and lists Grace E Kim, President, as its authorized official.

NPPES Registry Identity

NPI1154633220

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameGRAND MESA NEPHROLOGY PLLC

Location Address2748 CROSSROADS BLVDGrand Junction, CO 81506-3933

Mailing Address7641 Charolais StBillings, MT 59106-9664 · (406) 248-5511 · Fax (406) 248-5540

Phone(970) 255-0919

Fax(970) 255-0901

Organization SubpartNo

Authorized OfficialGrace E KimPresident · (406) 248-5511

Enumeration DateJuly 6, 2010

✔ NPI 1154633220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2748 CROSSROADS BLVD, Grand Junction, CO 81506

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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

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) 06D1107393

Grand Mesa Nephrology · Grand Junction, CO

Active · expires Sep 30, 2026

CLIA Number06D1107393

Laboratory TypePhysician Office

Certificate Effective DateOctober 1, 2024

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorJoseph Harawi

Laboratory Phone(970) 255-0919

Laboratory LocationGrand Mesa Nephrology2748 Crossroads Blvd, Grand Junction, CO 81506

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.

Other Providers at the Same Location NPPES 10

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

ALEXANDRA E STRAIGHT MD

Internal Medicine (Nephrology)