BANNER OCCUPATIONAL HEALTH COLORADO LLC - NPI 1669724134

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.

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About Banner Occupational Health Colorado Llc NPPES

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

BANNER OCCUPATIONAL HEALTH COLORADO LLC (NPI 1669724134) is a healthcare organization registered as an occupational medicine in Greeley, Colorado and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through October 25, 2026, maintains 3 additional practice locations, and lists Patrick Penrose, Vp, as its authorized official.

NPPES Registry Identity

NPI1669724134

Entity TypeOrganization

Primary Taxonomy261QX0100X

Legal Business NameBANNER OCCUPATIONAL HEALTH COLORADO LLC

Location Address1517 16TH AVENUE CTGreeley, CO 80631-4574

Mailing Address1441 N 12th StPhoenix, AZ 85006-2837

Phone(970) 350-6810

Organization SubpartYesParent: Banner Medical Group Colorado

Authorized OfficialPatrick PenroseVp · (602) 747-4000

Enumeration DateOctober 9, 2012

Last NPPES UpdateApril 17, 2026

NPPES CertifiedApril 17, 2026

✔ NPI 1669724134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities

Taxonomy Code261QX0100X

1517 16TH AVENUE CT, Greeley, CO 80631

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Secondary Practice Locations 3

Location 13617 S College Ave Ste CFort Collins, CO 80525-3009 · Phone (970) 821-3500

Location 21703 E 18th St Ste 4Loveland, CO 80538-4283 · Phone (970) 820-4580

Location 32015 35th AveGreeley, CO 80634-3911 · Phone (970) 810-4155

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 06D2271052

Banner Occupational Health Colorado, LLC · Fort Collins, CO

Active · expires Oct 25, 2026

CLIA Number06D2271052

Laboratory TypePhysician Office

Certificate Effective DateOctober 26, 2024

Certificate Expiration DateOctober 25, 2026

Laboratory DirectorDr. Ron Teichman

Laboratory Phone(970) 821-3500

Laboratory LocationBanner Occupational Health Colorado, LLC3617 S College Ave, Suite C, Fort Collins, CO 80525

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

GREGORY REICHHARDT M.D.

Physical Medicine & Rehabilitation