CHAMPIONS FAMILY MEDICAL
NPI 1700322575
Legal Medicine in Pueblo, CO
NPI Status: Active since January 17, 2017
Contact Information
415 N GRAND AVE
PUEBLO, CO
ZIP 81003
Phone: (719) 924-8448
Fax: (719) 924-9382
- Organization
- Legal Medicine
- CLIA Number: 06D2134327
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-30-2027
About CHAMPIONS FAMILY MEDICAL
This page provides the complete NPI Profile along with additional information for Champions Family Medical, a provider established in Pueblo, Colorado operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1700322575 assigned on January 2017. The practitioner's primary taxonomy code is 173000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Champions Family Medical operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Champions Family Medical. The authorized official of this NPI record is Richard B Lane (Practice Manager)
- NPI
- 1700322575
- Provider Legal Name
- CHAMPIONS FAMILY MEDICAL, PLLC
- Other Organization Name
- CHAMPIONS FAMILY MEDICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 415 N GRAND AVE PUEBLO, CO 81003
- Location Phone
- (719) 924-8448
- Location Fax
- (719) 924-9382
- Mailing Address
- 415 N GRAND AVE PUEBLO, CO 81003
- Mailing Phone
- (719) 924-8448
- Mailing Fax
- (719) 924-9382
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-17-2017
- Last Update Date
- 01-17-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Legal Medicine
- Taxonomy Code
- 173000000X
- Type
- Other Service Providers
- Taxonomy Description
- The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2134327
- Facility Type
- Physician Office
- Certificate Effective Date
- July 31, 2025
- Certificate Expiration Date
- July 30, 2027
- Laboratory Director
- ERICA VALDEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Champions Family Medical to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700322575, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700322575, enumerated as an "organization" on January 17, 2017.
The provider is located at 415 N GRAND AVE PUEBLO, CO 81003 and the phone number is (719) 924-8448.
Legal Medicine with taxonomy code 173000000X.
