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DELTA WAVES OF PUEBLO
NPI 1679892475
Clinic/Center - Sleep Disorder Diagnostic in Pueblo, CO

Active since May 19, 2010CLIA 06D1050324 · Waiver
3921 OUTLOOK BLVD, STE D, PUEBLO, CO 81008(719) 583-9283(719) 583-9285 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Delta Waves Of Pueblo NPPES

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

DELTA WAVES OF PUEBLO (NPI 1679892475) is a healthcare organization registered as a sleep disorder diagnostic in Pueblo, Colorado and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Randall Lowell Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1679892475
Entity TypeOrganization
Primary Taxonomy261QS1200X
Legal Business NameDELTA WAVES OF WOODLAND PARK INC
Location Address3921 OUTLOOK BLVD, STE DPueblo, CO 81008-1580
Mailing Address5835 Lehman Dr, Ste. 101Colorado Springs, CO 80918-3408 · (719) 262-9283 · Fax (719) 262-9285
Phone(719) 583-9283
Fax(719) 583-9285
Organization SubpartNo
Authorized OfficialRandall Lowell AndersonPresident · (719) 262-9283
Enumeration DateMay 19, 2010
✔ NPI 1679892475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Sleep Disorder DiagnosticAmbulatory Health Care Facilities
Taxonomy Code261QS1200X
3921 OUTLOOK BLVD, Pueblo, CO 81008
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Other Names 1

Doing Business AsDelta Waves Of Pueblo

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 06D1050324

Delta Waves, LLC · Colorado Springs, CO
Active · expires Jan 30, 2028
CLIA Number06D1050324
Laboratory TypeOther
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorDale Moseley
Laboratory Phone(719) 262-9283
Laboratory LocationDelta Waves, LLC5835 Lehman Drive #101, Colorado Springs, CO 80918
CLIA data matches this NPI record on: Address 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 Delta Waves Of Woodland Park Inc's NPI number?

The NPI number for Delta Waves Of Woodland Park Inc is 1679892475. It was assigned to this organization in the NPPES registry on May 19, 2010. The provider is doing business as Delta Waves Of Pueblo.

Where is Delta Waves Of Woodland Park Inc located?

Delta Waves Of Woodland Park Inc is located at 3921 Outlook Blvd Ste D, Pueblo, CO 81008. The listed phone number is (719) 583-9283.

What is Delta Waves Of Woodland Park Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Sleep Disorder Diagnostic, with taxonomy code 261QS1200X.

Does Delta Waves Of Woodland Park Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1050324) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Delta Waves Of Woodland Park Inc was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.