BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1487918728
Clinic/Center - Multi-Specialty in Greeley, CO

Active since July 02, 2012CLIA 06D2029417 · Waiver
6801 W 20TH ST UNIT 201, GREELEY, CO 80634(970) 350-5828(970) 378-4210 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1487918728) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Dennis Laraway, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1487918728
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address6801 W 20TH ST UNIT 201Greeley, CO 80634-9640
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(970) 378-4210
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialDennis LarawayAssociate Director · (602) 747-4000
Enumeration DateJuly 2, 2012
Last NPPES UpdateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
NPI 1487918728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6801 W 20TH ST UNIT 201, Greeley, CO 80634

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 06D2029417

Banner Health Physicians Colorado LLC · Greeley, CO
Active · expires Sep 6, 2027
CLIA Number06D2029417
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorDr. Kathryn Chmura
Laboratory Phone(970) 350-5828
Laboratory LocationBanner Health Physicians Colorado LLC2001 70th Ave Suite 200, Greeley, CO 80634
CLIA data matches this NPI record on: Name Phone
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 Banner Health Physicians Colorado LLC's NPI number?

The NPI number for Banner Health Physicians Colorado LLC is 1487918728. It was assigned to this organization in the NPPES registry on July 2, 2012.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 6801 W 20th St Unit 201, Greeley, CO 80634. The listed phone number is (970) 350-5828.

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.

Does Banner Health Physicians Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2029417) is associated with this NPI, valid through September 6, 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 Banner Health Physicians Colorado LLC was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.