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COLORADO ADVANCED ENDOVASCULAR, LLC
NPI 1629829098
Radiology - Vascular & Interventional Radiology in Lakewood, CO

Active since April 01, 2024CLIA 06D2320189 · Waiver
355 UNION BLVD STE 150, LAKEWOOD, CO 80228(720) 669-3036(720) 545-1584 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colorado Advanced Endovascular, Llc NPPES

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

COLORADO ADVANCED ENDOVASCULAR, LLC (NPI 1629829098) is a healthcare organization registered as a vascular & interventional radiology in Lakewood, Colorado and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Ashley Dorman, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1629829098
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameCOLORADO ADVANCED ENDOVASCULAR, LLC
Location Address355 UNION BLVD STE 150Lakewood, CO 80228-6516
Mailing Address7375 W 52nd Ave Ste 210Arvada, CO 80002-3748 · (303) 223-4448 · Fax (720) 501-5199
Phone(720) 669-3036
Fax(720) 545-1584
Organization SubpartYesParent: Colorado Imaging Associates, Pc
Authorized OfficialAshley DormanPractice Administrator · (720) 669-3036
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1629829098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
355 UNION BLVD STE 150, Lakewood, CO 80228
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Other Names 1

Other NameColorado Imaging Associates, Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 06D2320189

Colorado Advanced Endovascular, LLC · Lakewood, CO
Active · expires Mar 12, 2027
CLIA Number06D2320189
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorBlaze J. Cook
Laboratory Phone(720) 669-3036
Laboratory LocationColorado Advanced Endovascular, LLC355 Union Blvd, Suite 100, Lakewood, CO 80228
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 Colorado Advanced Endovascular, LLC's NPI number?

The NPI number for Colorado Advanced Endovascular, LLC is 1629829098. It was assigned to this organization in the NPPES registry on April 1, 2024. The provider is also known as Colorado Imaging Associates, PC.

Where is Colorado Advanced Endovascular, LLC located?

Colorado Advanced Endovascular, LLC is located at 355 Union Blvd Ste 150, Lakewood, CO 80228. The listed phone number is (720) 669-3036.

What is Colorado Advanced Endovascular, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Colorado Advanced Endovascular, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2320189) is associated with this NPI, valid through March 12, 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 Colorado Advanced Endovascular, LLC was last updated on April 1, 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.