BANNER FORT COLLINS MEDICAL CENTER
NPI 1538688239
Clinical Medical Laboratory in Fort Collins, CO

Active since September 13, 2017
4700 LADY MOON DR, FORT COLLINS, CO 80528(970) 821-4000(970) 821-4501 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2026, Jan 31, 2022, Sep 13, 2017 (3 updates tracked since 2017).

About Banner Fort Collins Medical Center NPPES

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

BANNER FORT COLLINS MEDICAL CENTER (NPI 1538688239) is a healthcare organization registered as a clinical medical laboratory in Fort Collins, Colorado and active in the NPI registry since September 2017. The organization lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538688239
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameBANNER FORT COLLINS MEDICAL CENTER
Location Address4700 LADY MOON DRFort Collins, CO 80528-4426
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(970) 821-4501
Organization SubpartYesParent: Banner Health
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateSeptember 13, 2017
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1538688239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

4700 LADY MOON DR, Fort Collins, CO 80528

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Multi-Specialty)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Anesthesiology
4700 LADY MOON DR
FORT COLLINS, CO 80528
Ambulance
4700 LADY MOON DR
FORT COLLINS, CO 80528
Surgery
4700 LADY MOON DR
FORT COLLINS, CO 80528
Clinic/Center (Multi-Specialty)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Clinic/Center (Multi-Specialty)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Nurse Anesthetist, Certified Registered
4700 LADY MOON DR
FORT COLLINS, CO 80528
Nurse Practitioner (Pediatrics)
4700 LADY MOON DR
FORT COLLINS, CO 80528

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 Fort Collins Medical Center's NPI number?

The NPI number for Banner Fort Collins Medical Center is 1538688239. It was assigned to this organization in the NPPES registry on September 13, 2017.

Where is Banner Fort Collins Medical Center located?

Banner Fort Collins Medical Center is located at 4700 Lady Moon Dr, Fort Collins, CO 80528. The listed phone number is (970) 821-4000.

What is Banner Fort Collins Medical Center's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Banner Fort Collins Medical Center was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.