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SOUTHERN COLORADO CLINIC PC
NPI 1528828837
Clinic/Center in Pueblo, CO

Active since March 21, 2024CLIA 06D2302116 · Microscopy
2403 SANTA FE DR STE 7, PUEBLO, CO 81006(719) 553-2200 Get Directions Write a Review

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

About Southern Colorado Clinic Pc NPPES

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

SOUTHERN COLORADO CLINIC PC (NPI 1528828837) is a healthcare organization registered as a clinic/center in Pueblo, Colorado and active in the NPI registry since March 2024. The organization holds a CLIA Microscopy certificate valid through November 10, 2026 and lists Evangeline (evie) Harris, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1528828837
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHERN COLORADO CLINIC PC
Location Address2403 SANTA FE DR STE 7Pueblo, CO 81006-1497
Mailing AddressPo Box 9000Pueblo, CO 81008-9000 · (719) 553-2200
Phone(719) 553-2200
Organization SubpartYes
Authorized OfficialEvangeline (evie) HarrisCredentialing Specialist · (719) 553-1804
Enumeration DateMarch 21, 2024
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1528828837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2403 SANTA FE DR STE 7, Pueblo, CO 81006
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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 for Provider-Performed Microscopy Procedures (PPMP) 06D2302116

Southern Colorado Clinic, PC · Pueblo, CO
Active · expires Nov 10, 2026
CLIA Number06D2302116
Laboratory TypePhysician Office
Certificate Effective DateNovember 11, 2024
Certificate Expiration DateNovember 10, 2026
Laboratory DirectorJohn G. Beauman
Laboratory Phone(719) 553-1804
Laboratory LocationSouthern Colorado Clinic, PC2403 Santa Fe Dr, Suites 7, Pueblo, CO 81006
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

NICHOLAS FRANKLIN BROOKINS FNP
Nurse Practitioner (Family)
2403 SANTA FE DR STE 7
PUEBLO, CO 81006
Pueblo County (719) 553-2206

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 Southern Colorado Clinic PC's NPI number?

The NPI number for Southern Colorado Clinic PC is 1528828837. It was assigned to this organization in the NPPES registry on March 21, 2024.

Where is Southern Colorado Clinic PC located?

Southern Colorado Clinic PC is located at 2403 Santa Fe Dr Ste 7, Pueblo, CO 81006. The listed phone number is (719) 553-2200.

What is Southern Colorado Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Southern Colorado Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2302116) is associated with this NPI, valid through November 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Colorado Clinic PC was last updated on March 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.