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SOUTH DENVER GASTROENTEROLOGY, PC
NPI 1174391007
Non-Pharmacy Dispensing Site in Lone Tree, CO

Active since December 20, 2023
10103 RIDGEGATE PKWY STE 312A, LONE TREE, CO 80124(303) 788-8888 Get Directions Write a Review

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

About South Denver Gastroenterology, Pc NPPES

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

SOUTH DENVER GASTROENTEROLOGY, PC (NPI 1174391007) is a healthcare organization registered as a non-pharmacy dispensing site in Lone Tree, Colorado and active in the NPI registry since December 2023. The organization lists Branden Lish, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174391007
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTH DENVER GASTROENTEROLOGY, PC
Location Address10103 RIDGEGATE PKWY STE 312ALone Tree, CO 80124-5525
Mailing Address10 Inverness Dr E Ste 220Englewood, CO 80112-5612
Phone(303) 788-8888
Organization SubpartNo
Authorized OfficialBranden LishCeo · (303) 788-8888
Enumeration DateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1174391007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
10103 RIDGEGATE PKWY STE 312A, Lone Tree, CO 80124
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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 Compliance 06D2043218

South Denver Gastroenterology - Ridgegate · Lone Tree, CO
Expired · Jun 30, 2026
CLIA Number06D2043218
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2021
Certificate Expiration DateJune 30, 2026
Laboratory DirectorRaanan Sela
Laboratory Phone(303) 788-8888
Laboratory LocationSouth Denver Gastroenterology - Ridgegate10103 Ridgegate Pkwy, Ste 312, Lone Tree, CO 80124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

GI CARE OF COLORADO PLLC
Internal Medicine (Gastroenterology)
10103 RIDGEGATE PKWY STE 312A
LONE TREE, CO 80124
Douglas County (303) 788-8888

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 South Denver Gastroenterology, PC's NPI number?

The NPI number for South Denver Gastroenterology, PC is 1174391007. It was assigned to this organization in the NPPES registry on December 20, 2023.

Where is South Denver Gastroenterology, PC located?

South Denver Gastroenterology, PC is located at 10103 Ridgegate Pkwy Ste 312A, Lone Tree, CO 80124. The listed phone number is (303) 788-8888.

What is South Denver Gastroenterology, PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for South Denver Gastroenterology, PC was last updated on December 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.