NPI 1538688239

Banner Fort Collins Medical Center

Organisation Clinical Medical Laboratory Fort Collins, CO

Practice location

Address: 4700 Lady Moon Dr, Fort Collins, CO 80528-4426
Phone: (970) 821-4000
Fax: (970) 821-4501
Mailing address: 2901 N Central Ave STE 160, Phoenix, AZ 85012-2702

Authorised official

Name: Shiva Birdi
Title: Ceo
Phone: (602) 747-4000

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Colorado →

Registry record

NPI: 1538688239
Entity type: Organization
NPI issued: 13 Sep 2017
Record last updated: 16 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.