BOULDER MEDICAL CENTER, P.C.
NPI 1144853904
Clinic/Center - Multi-Specialty in Longmont, CO
NPI Status: Active since February 19, 2020
Contact Information
1551 PROFESSIONAL LN UNIT 240
LONGMONT, CO
ZIP 80501
Phone: (303) 938-4710
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 06D2181128
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-25-2026
About BOULDER MEDICAL CENTER, P.C.
This page provides the complete NPI Profile along with additional information for Boulder Medical Center, P.c., a provider established in Longmont, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1144853904 assigned on February 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Casandra Richards (Credentialing Coordinator)
- NPI
- 1144853904
- Provider Name
- BOULDER MEDICAL CENTER, P.C.
- Entity Type
- Organization
- Location Address
- 1551 PROFESSIONAL LN UNIT 240 LONGMONT, CO 80501
- Location Phone
- (303) 938-4710
- Mailing Address
- 2750 BROADWAY ST BOULDER, CO 80304
- Mailing Phone
- (303) 440-3000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2020
- Last Update Date
- 02-08-2024
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 06D2181128
- Facility Type
- Physician Office
- Certificate Effective Date
- March 26, 2024
- Certificate Expiration Date
- March 25, 2026
- Laboratory Director
- TRENT JARVIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Boulder Medical Center, P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 4 | 4 | 8 | 5 | 3 | 9 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 8 | 4 | 16 | 5 | 6 | 9 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 8 + 4 + 1 + 6 + 5 + 6 + 9 + 0 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1144853904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1700573201 | COLORADO MEDICAL GROUP, PLLC Organization | Surgery (Vascular Surgery) | 1551 PROFESSIONAL LN UNIT 240 LONGMONT, CO 80501 (800) 991-6117 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144853904, enumerated in the NPI registry as an "organization" on February 19, 2020
The provider is located at 1551 Professional Ln Unit 240 Longmont, Co 80501 and the phone number is (303) 938-4710
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 06D2181128 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 19, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.