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VIVO INFUSION COLORADO, LLC
NPI 1366228140
Clinic/Center - Infusion Therapy in Boulder, CO

Active since September 06, 2023CLIA 06D2288114 · Waiver
2425 CANYON BLVD STE F, BOULDER, CO 80302(855) 478-1528 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivo Infusion Colorado, Llc NPPES

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

VIVO INFUSION COLORADO, LLC (NPI 1366228140) is a healthcare organization registered as an infusion therapy in Boulder, Colorado and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Sue Ellen Rottura, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1366228140
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameVIVO INFUSION COLORADO, LLC
Location Address2425 CANYON BLVD STE FBoulder, CO 80302-6736
Mailing Address1726 Cole Blvd Ste 250Lakewood, CO 80401-3262
Phone(855) 478-1528
Organization SubpartNo
Authorized OfficialSue Ellen RotturaChief Operating Officer · (561) 323-8987
Enumeration DateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1366228140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
2425 CANYON BLVD STE F, Boulder, CO 80302
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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 06D2288114

Vivo Infusion Colorado LLC Dba Vivo Infusion · Boulder, CO
Active · expires Aug 21, 2027
CLIA Number06D2288114
Laboratory TypeInfusion Center
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorLee Ann Dam
Laboratory Phone(720) 983-1066
Laboratory LocationVivo Infusion Colorado LLC Dba Vivo Infusion2425 Canyon Blvd, Suite F, Boulder, CO 80302
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Vivo Infusion Colorado, LLC's NPI number?

The NPI number for Vivo Infusion Colorado, LLC is 1366228140. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Vivo Infusion Colorado, LLC located?

Vivo Infusion Colorado, LLC is located at 2425 Canyon Blvd Ste F, Boulder, CO 80302. The listed phone number is (855) 478-1528.

What is Vivo Infusion Colorado, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Does Vivo Infusion Colorado, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2288114) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vivo Infusion Colorado, LLC was last updated on September 6, 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.