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BAEK PRIMARY CLINIC LLC
NPI 1467214221
Clinic/Center - Primary Care in Aurora, CO

Active since January 26, 2024CLIA 06D2301728 · Waiver
11275 E MISSISSIPPI AVE STE 1E8, AURORA, CO 80012(646) 552-1862 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baek Primary Clinic Llc NPPES

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

BAEK PRIMARY CLINIC LLC (NPI 1467214221) is a healthcare organization registered as a primary care in Aurora, Colorado and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Sujin Baek, Np, as its authorized official.

NPPES Registry Identity

NPI1467214221
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBAEK PRIMARY CLINIC LLC
Location Address11275 E MISSISSIPPI AVE STE 1E8Aurora, CO 80012-2818
Mailing Address1439 S Emporia CtAurora, CO 80247-7347 · (646) 552-1862
Phone(646) 552-1862
Organization SubpartNo
Authorized OfficialSujin BaekNp · (646) 552-1862
Enumeration DateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1467214221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
11275 E MISSISSIPPI AVE STE 1E8, Aurora, CO 80012
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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 06D2301728

Baek Primary Clinic · Aurora, CO
Active · expires Mar 31, 2028
CLIA Number06D2301728
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorSujin Baek
Laboratory Phone(720) 270-4924
Laboratory LocationBaek Primary Clinic11275 E Mississippi Ave Suite 1e8, Aurora, CO 80012
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ASSOCIATED BACK CLINIC
Chiropractor
11275 E MISSISSIPPI AVE STE 1E8
AURORA, CO 80012
Arapahoe County (303) 363-9095
BEAU P LAURENCE LMT
Massage Therapist
11275 E MISSISSIPPI AVE STE 1E8
AURORA, CO 80012
Arapahoe County (303) 363-9095
GAUL FAMILY CHIROPRACTIC LLC
Chiropractor
11275 E MISSISSIPPI AVE STE 1E8
AURORA, CO 80012
Arapahoe County (303) 363-9095
TED A WADLEY D. C.
Chiropractor
11275 E MISSISSIPPI AVE STE 1E8
AURORA, CO 80012
Arapahoe County (303) 341-1494
SUJIN BAEK
Nurse Practitioner (Primary Care)
11275 E MISSISSIPPI AVE STE 1E8
AURORA, CO 80012
Arapahoe County (303) 955-1362

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 Baek Primary Clinic LLC's NPI number?

The NPI number for Baek Primary Clinic LLC is 1467214221. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Baek Primary Clinic LLC located?

Baek Primary Clinic LLC is located at 11275 E Mississippi Ave Ste 1e8, Aurora, CO 80012. The listed phone number is (646) 552-1862.

What is Baek Primary Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Baek Primary Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2301728) is associated with this NPI, valid through March 31, 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 Baek Primary Clinic LLC was last updated on January 26, 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.