BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1295003366
Clinic/Center - Multi-Specialty in Greeley, CO

Active since December 05, 2011CLIA 06D0969292 · Waiver
5890 W 13TH ST STE 114, GREELEY, CO 80634(970) 378-1000 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Banner Health Physicians Colorado Llc NPPES

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

BANNER HEALTH PHYSICIANS COLORADO LLC (NPI 1295003366) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through June 29, 2028 and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295003366
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address5890 W 13TH ST STE 114Greeley, CO 80634-4821
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateDecember 5, 2011
Last NPPES UpdateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
NPI 1295003366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5890 W 13TH ST STE 114, Greeley, CO 80634

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 06D0969292

Banner Health Physicians Colorado LLC · Greeley, CO
Active · expires Jun 29, 2028
CLIA Number06D0969292
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorDr. James W. Wolach
Laboratory Phone(970) 378-1000
Laboratory LocationBanner Health Physicians Colorado LLC5890 W 13th St, Ste 106, Greeley, CO 80634
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

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
5890 W 13TH ST STE 114
GREELEY, CO 80634

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 Banner Health Physicians Colorado LLC's NPI number?

The NPI number for Banner Health Physicians Colorado LLC is 1295003366. It was assigned to this organization in the NPPES registry on December 5, 2011.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 5890 W 13th St Ste 114, Greeley, CO 80634. The listed phone number is (970) 378-1000.

What is Banner Health Physicians Colorado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Banner Health Physicians Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0969292) is associated with this NPI, valid through June 29, 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 Banner Health Physicians Colorado LLC was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.