Organization Active NPI

Vascular Labs of the Rockies ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Denver, CO
National Provider Identifier
1356969703
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VASCULAR LABS OF THE ROCKIES ASC, LLC
Practice address
4105 E Florida Ave
Denver, CO 80222-3620
Phone
(303) 539-0736
Fax
(303) 539-0737
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Desiree Roberts
Title
Business Office Supervisor
Phone
(720) 880-7839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4105 E Florida Ave
Denver, CO 80222-3620

Mailing address

4105 E Florida Ave
Denver, CO 80222-3620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200922000273 CO Part B Supplier - Ambulatory Surgical Center 0648698761 Practice locations: Denver, CO

Ambulatory surgical center certification: CCN 06C0001188

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VASCULAR LABS OF THE ROCKIES ASC, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 15, 2021
Last certification
Nov 15, 2021
Ownership / control type
Proprietary
Facility address
4105 E Florida Ave
Denver, CO 80222

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4105 E Florida Ave
Denver, CO 80222
Phone (303) 539-0736

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1356969703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 E FLORIDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 E FLORIDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223620",
            "telephone_number": "303-539-0736",
            "fax_number": "303-539-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR LABS OF THE ROCKIES ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "720-880-7839"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.