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INTERMOUNTAIN HEALTH HEART & VASCULAR - LAFAYETTE CLINIC
NPI 1366051054
Internal Medicine - Cardiovascular Disease in Lafayette, CO

Active since July 28, 2020
300 EXEMPLA CIR STE 310, LAFAYETTE, CO 80026(303) 689-6420(303) 689-6430 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Jul 28, 2020 (2 updates tracked since 2020).

About Intermountain Health Heart & Vascular - Lafayette Clinic NPPES

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

INTERMOUNTAIN HEALTH HEART & VASCULAR - LAFAYETTE CLINIC (NPI 1366051054) is a healthcare organization registered as a cardiovascular disease in Lafayette, Colorado and active in the NPI registry since July 2020. The organization lists Jon Mcdaniel, Vp Fiance Mgps Operations, as its authorized official.

NPPES Registry Identity

NPI1366051054
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address300 EXEMPLA CIR STE 310Lafayette, CO 80026-3394
Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566 · Fax (303) 272-0390
Phone(303) 689-6420
Fax(303) 689-6430
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Fiance Mgps Operations · (303) 272-0231
Enumeration DateJuly 28, 2020
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1366051054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
300 EXEMPLA CIR STE 310, Lafayette, CO 80026
Open in Google Maps ↗

Other Names 1

Doing Business AsIntermountain Health Heart & Vascular - Lafayette Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Waiver 06D2189476

Intermountain Health Heart & Vascular Lafayette · Lafayette, CO
Expired · Jul 30, 2026
CLIA Number06D2189476
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorDr. Sucheta Gosavi
Laboratory Phone(303) 689-6420
Laboratory LocationIntermountain Health Heart & Vascular Lafayette300 Exempla Circle Suite 310, Lafayette, CO 80026
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.

LORENA R. LETKOMILLER
Specialist
300 EXEMPLA CIR STE 310
LAFAYETTE, CO 80026
Boulder County (303) 664-1490

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 Intermountain Medical Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1366051054. It was assigned to this organization in the NPPES registry on July 28, 2020. The provider is doing business as Intermountain Health Heart & Vascular - Lafayette Clinic.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 300 Exempla Cir Ste 310, Lafayette, CO 80026. The listed phone number is (303) 689-6420.

What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Denver, LLC was last updated on June 28, 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.