LARKRIDGE CLINIC - ORTHOPEDICS - NPI 1871107748 - Family Medicine in Thornton, CO

Q: What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Larkridge Clinic - Orthopedics NPPES

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

LARKRIDGE CLINIC - ORTHOPEDICS (NPI 1871107748), doing business as Larkridge Clinic, is a healthcare organization registered as a family medicine in Thornton, Colorado and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1871107748

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Location Address16570 WASHINGTON STThornton, CO 80023-8964

Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566

Phone(303) 689-6600

Fax(303) 689-6601

Organization SubpartYesParent: Intermountain Front Range, Inc.

Authorized OfficialJon McdanielVp Finance · (303) 272-0231

Enumeration DateSeptember 8, 2020

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1871107748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X

16570 WASHINGTON ST, Thornton, CO 80023

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Other Names 3

Other NameLarkridge Clinic - Orthopedics

Doing Business AsLarkridge Clinic

Other NameLarkridge Clinic Physical Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 06D2213347

Larkridge Clinic · Thornton, CO

Active · expires May 31, 2027

CLIA Number06D2213347

Laboratory TypePhysician Office

Certificate Effective DateJune 1, 2025

Certificate Expiration DateMay 31, 2027

Laboratory DirectorDr. Thomas D. Mino

Laboratory Phone(303) 689-6600

Laboratory LocationLarkridge Clinic16570 Washington Street, Thornton, CO 80023

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.

STEPHEN WAYNE COBB MD

Family Medicine