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LAFAYETTE CLINIC - GENERAL SURGERY
NPI 1417560574
Surgery in Lafayette, CO

Active since August 28, 2020CLIA 06D2253459 · Waiver
300 EXEMPLA CIR STE 400, LAFAYETTE, CO 80026(303) 689-6560(303) 689-6550 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Apr 29, 2022, Aug 28, 2020 (3 updates tracked since 2020).

About Lafayette Clinic - General Surgery NPPES

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

LAFAYETTE CLINIC - GENERAL SURGERY (NPI 1417560574), doing business as Lafayette Clinic - Trauma Surgery, is a healthcare organization registered as a surgery in Lafayette, Colorado and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1417560574
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address300 EXEMPLA CIR STE 400Lafayette, CO 80026-3396
Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566
Phone(303) 689-6560
Fax(303) 689-6550
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateAugust 28, 2020
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1417560574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
300 EXEMPLA CIR STE 400, Lafayette, CO 80026
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Other Names 2

Other NameLafayette Clinic - General Surgery
Doing Business AsLafayette Clinic - Trauma Surgery

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 06D2253459

Lafayette Clinic - General Surgery · Lafayette, CO
Active · expires Feb 21, 2028
CLIA Number06D2253459
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorChristopher Awtrey
Laboratory Phone(303) 689-6560
Laboratory LocationLafayette Clinic - General Surgery300 Exempla Circle, Suite 400, 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.

DANIEL HALL MD
Surgery
300 EXEMPLA CIR STE 400
LAFAYETTE, CO 80026
Boulder County (303) 689-6560

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 1417560574. It was assigned to this organization in the NPPES registry on August 28, 2020. The provider is doing business as Lafayette Clinic - Trauma Surgery. The provider is also known as Lafayette Clinic - General Surgery.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 300 Exempla Cir Ste 400, Lafayette, CO 80026. The listed phone number is (303) 689-6560.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Intermountain Medical Group Denver, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2253459) is associated with this NPI, valid through February 21, 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 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.