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SUPERIOR CLINIC OB-GYN
NPI 1891309290
Family Medicine in Superior, CO

Active since September 02, 2020CLIA 06D2168301 · Microscopy
3 SUPERIOR DR STE 400, SUPERIOR, CO 80027(303) 673-1440(303) 673-1359 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Sep 2, 2020 (2 updates tracked since 2020).

About Superior Clinic Ob-gyn NPPES

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

SUPERIOR CLINIC OB-GYN (NPI 1891309290), doing business as Superior Clinic, is a healthcare organization registered as a family medicine in Superior, Colorado and active in the NPI registry since September 2020. The organization holds a CLIA Microscopy certificate valid through June 25, 2027 and lists Jon Mcdaniel, Vp Fiance, as its authorized official.

NPPES Registry Identity

NPI1891309290
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address3 SUPERIOR DR STE 400Superior, CO 80027-8656
Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566
Phone(303) 673-1440
Fax(303) 673-1359
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Fiance · (303) 272-0231
Enumeration DateSeptember 2, 2020
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1891309290 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 ListedObstetrics & GynecologyTaxonomy 207V00000X
3 SUPERIOR DR STE 400, Superior, CO 80027
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Other Names 2

Other NameSuperior Clinic Ob-gyn
Doing Business AsSuperior Clinic

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 for Provider-Performed Microscopy Procedures (PPMP) 06D2168301

Superior Clinic · Superior, CO
Active · expires Jun 25, 2027
CLIA Number06D2168301
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. Luz Marcela Serrano
Laboratory Phone(303) 673-1475
Laboratory LocationSuperior Clinic3 Superior Drive, Suite 400, Superior, CO 80027
CLIA data matches this NPI record on: Address Name
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 3

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

DR. BRIANNA WHITTEMORE M.D.
Obstetrics & Gynecology
3 SUPERIOR DR STE 400
SUPERIOR, CO 80027
Boulder County (303) 673-1440
DR. EMILY DELEON M.D.
Obstetrics & Gynecology
3 SUPERIOR DR STE 400
SUPERIOR, CO 80027
Boulder County (303) 673-1440
DR. MARCI LEE K PERALTO KRONBACH M.D.
Obstetrics & Gynecology
3 SUPERIOR DR STE 400
SUPERIOR, CO 80027
Boulder County (303) 673-1440

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 Intermountain Medical Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1891309290. It was assigned to this organization in the NPPES registry on September 2, 2020. The provider is doing business as Superior Clinic. The provider is also known as Superior Clinic Ob-Gyn.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 3 Superior Dr Ste 400, Superior, CO 80027. The listed phone number is (303) 673-1440.

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

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

Does Intermountain Medical Group Denver, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2168301) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Denver, LLC was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.