BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1295099539
Clinic/Center - Multi-Specialty in Loveland, CO

Q: 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.

Active since July 02, 2012CLIA 06D0516339 · Waiver

1230 14TH ST SW, LOVELAND, CO 80537(970) 619-3999(970) 667-8177 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Mar 8, 2022 (2 updates tracked since 2022).

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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 1295099539) is a healthcare organization registered as a multi-specialty in Loveland, Colorado and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295099539

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC

Location Address1230 14TH ST SWLoveland, CO 80537-6324

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000

Phone(970) 619-3999

Fax(970) 667-8177

Organization SubpartYesParent: Banner Medical Group Colorado

Authorized OfficialShiva BirdiCeo · (602) 747-4000

Enumeration DateJuly 2, 2012

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1295099539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

1230 14TH ST SW, Loveland, CO 80537

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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 Waiver 06D0516339

Banner Health Physicians Colorado, LLC · Loveland, CO

Active · expires Jun 3, 2028

CLIA Number06D0516339

Laboratory TypePhysician Office

Certificate Effective DateJune 4, 2026

Certificate Expiration DateJune 3, 2028

Laboratory DirectorDr. Colton R. Redding

Laboratory Phone(970) 619-3999

Laboratory LocationBanner Health Physicians Colorado, LLC1230 14 St SW, Loveland, CO 80537

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 9

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

MS. NANCY HOLMAN FNP

Nurse Practitioner (Family)