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SOUTHERN COLORADO CLINIC
NPI 1659435535
Durable Medical Equipment & Medical Supplies in Pueblo, CO

Active since December 21, 2006CLIA Certified · 2 labs
3676 PARKER BLVD, PUEBLO, CO 81008(719) 553-2200(719) 553-2216 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Colorado Clinic NPPES

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

SOUTHERN COLORADO CLINIC (NPI 1659435535) is a healthcare organization registered as a durable medical equipment & medical supplies in Pueblo, Colorado and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Mark Stuart Potzler, President, as its authorized official.

NPPES Registry Identity

NPI1659435535
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHERN COLORADO CLINIC
Location Address3676 PARKER BLVDPueblo, CO 81008-2212
Mailing AddressPo Box 9000Pueblo, CO 81008-9000 · (719) 553-2200 · Fax (719) 553-2216
Phone(719) 553-2200
Fax(719) 553-2216
Organization SubpartYes
Authorized OfficialMark Stuart PotzlerPresident · (719) 553-1802
Enumeration DateDecember 21, 2006
Last NPPES UpdateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1659435535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3676 PARKER BLVD, Pueblo, CO 81008
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Secondary Practice Locations 2

Location 1127 Justice Center Rd Ste JCanon City, CO 81212-9378 · Phone (719) 553-2201 ext. 32201
Location 21080 Chinook LnPueblo, CO 81001-1850 · Phone (719) 553-2201 ext. 32201

CLIA Laboratory Certificates CMS CLIA 2

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 06D2338547

Southern Colorado Clinic PC · Pueblo, CO
Active · expires Feb 11, 2028
CLIA Number06D2338547
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorScott Dreuiter
Laboratory Phone(719) 553-2201
Laboratory LocationSouthern Colorado Clinic PC1080 Chinook Ln, Pueblo, CO 81008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2329748

Southern Colorado Clinic PC · Pueblo, CO
Active · expires Sep 4, 2027
CLIA Number06D2329748
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorJohn G. Beauman
Laboratory Phone(719) 553-2201
Laboratory LocationSouthern Colorado Clinic PC314 W 16th Street, Pueblo, CO 81003
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 20

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

MRS. RITA ANN ELLSWORTH MD
Pediatrics
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
MS. MARSHA R FLOWERS OTC
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2206
HAVILAH R. SPURLOCK FNP-C
Nurse Practitioner (Family)
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
JENNIFER LIVINGSTON
Nurse Practitioner (Family)
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
DR. QUEENTER KISANG MD
Family Medicine
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-1804
MISS CARLA RAE PROCTOR M.D.
Pediatrics
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2204
MR. RYAN SCOTT ESLINGER OTC
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
UROLOGY OF SOUTHERN COLORADO PLLC
Clinic/Center (Medical Specialty)
3676 PARKER BLVD, SUITE 310
PUEBLO, CO 81008
Pueblo County (719) 545-1500

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's NPI number?

The NPI number for Southern Colorado Clinic is 1659435535. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Southern Colorado Clinic located?

Southern Colorado Clinic is located at 3676 Parker Blvd, Pueblo, CO 81008. The listed phone number is (719) 553-2200.

What is Southern Colorado Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Southern Colorado Clinic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southern Colorado Clinic was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.