Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banner Fort Collins Medical Center

Organization Clinical Medical Laboratory · NPI 1538688239

Banner Fort Collins Medical Center is a Clinical Medical Laboratory in Fort Collins, Colorado. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

4700 Lady Moon Dr
Fort Collins, CO 80528-4426
Phone: (970) 821-4000
Fax: (970) 821-4501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1538688239
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Shiva Birdi — Ceo · (602) 747-4000
NPI enumeratedSeptember 13, 2017
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

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