CCRM DONOR EGG BANK LLC NPI 1104712967

NPI Information

  • NPI: 1104712967
  • Provider Name: CCRM DONOR EGG BANK LLC
  • Classification: Clinic/Center - 261QA0006X
  • Specialization: Ambulatory Fertility Facility
  • Entity Type: Organization
  • Address: 10290 RIDGEGATE CIR
    LONE TREE, CO
    ZIP 80124
  • Phone: (303) 788-8300

Map and Directions

Get Directions

NPI Details

CCRM DONOR EGG BANK LLC is an ambulatory fertility facility clinic center in Lone Tree, CO. The provider is a fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) CCRM DONOR EGG BANK LLC NPI is 1104712967. The provider is registered as an organization entity type.

The provider's business location address is:

10290 RIDGEGATE CIR
LONE TREE, CO
ZIP 80124-331
Phone: (303) 788-8300
Fax: (303) 788-8310

The provider's authorized official is Diane Jean Ravech .
The authorized official title is Chief Managed Care Officer and has the following contact phone number (860) 305-6640.

The enumeration date for this NPI number is 6/17/2025 and was last updated on 6/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0006XClinic/CenterAmbulatory Fertility FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI